Not Always Top 5 Long QT
- Talk to the patient’s cardiologist - beta blocked?
- Normal electrolytes
- Check defibrillator (internal and/or external)
- Avoid tachycardia and bradycardia
- Avoid ondansetron and reversal (if possible). Use propofol (maybe)
- Know magnesium dose for treatment of torsades: 30mg/kg MgSO4 over 3 minutes IV
PS - 50% MgSO4 = 500mg/mL = 2mmol/mL = 4mEq/mL
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