Case Presentation: A 73 year-old female with a history of recurrent DVT's on Warfarin, microscopic polyangiitis and ulcerative colitis status post total colectomy initially presented with altered mental status. Lab workup revealed acute renal failure [...]
Does EKG-Guided Peripherally Inserted Central Catheter Insertion Reduce Risk of Deep Vein Thrombosis?
Background: The position of the tip of a peripherally inserted central catheter (PICC) is associated with deep vein thrombosis (DVT). Optimal position of the tip is the cavoatrial junction; more proximal tip positions are associated [...]
NOW QTC IT, NOW YOU DON’T: EKG ORDERING TENDENCIES AMONG HOSPITALISTS, RESIDENTS, AND ADVANCED PRACTICE PROVIDERS MONITORING INPATIENTS NEWLY STARTED ON ANTIPSYCHOTICS.
Background: It is common practice to monitor QTc interval in hospitalized patients newly started on antipsychotics. While some guidelines exist for frequency of ordering EKGs in the outpatient setting, these may not apply to inpatients [...]
Background: Antipsychotics can prolong QTc interval and lead to development of the fatal arrhythmia Torsade de Pointes. Accordingly, serial EKG monitoring of QTc in patients newly started on antipsychotics has become common practice in hospitals. [...]