interpretation : regular rhythm , absent p wave , very slow hr , wide qrs , idioventricular rhythm (ventricular escape rhythm), peaked T wave
management : urgent dialysis if there no c/i
acute flaccid paralysis , +ve reflexes
interpretation: prominant U wave , flat T wave ,
dx: hypokalemic periodic paralysis
management : KCL replacement diluted in mannitol 5% , iv potassium chloride 0.05-0.1mEq/kg in 5%mannitol as bolus preferable to continuous infusion , mannitol as solvent , because both N/S , GW worsen the attack , maximum KCL 200mEq per day , only 10mEq at time should infused in 20-60min,unless situations of cardiac arrhythmia or cardiac compromise (to avoid hyperkalemia) , continuous ECG monitoring and sequential serum K are mandatory
another case of hypokalemia with prominant U wave and inverted T wave