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Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? Comments: STEMI with hypokalemia, especially with a long QT, puts the patient at very high risk of Torsades or Ventricular fibrillation (see many references, with abstracts, below). There is atrial fibrillation.
Discussion See this post: STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes I could find very little literature on the treatment of severe life-threatening hypokalemia. Internal potassium balance and the control of the plasma potassium concentration. and/or in the presence of acute MI. mEq/L to 3.0 mEq/L to 2.0
Internal potassium balance and the control of the plasma potassium concentration. to greatly decrease risk (although in STEMI, the optimal level is about 4.0-4.5 I could find very little literature on the treatment of severe life-threatening hypokalemia. The estimated deficit associated with a serum decrease from 4.0
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