A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
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Is weight-based dosing for IV diltiazem in atrial fibrillation better than fixed dosing in treating atrial fibrillation? And which weight do we use? Given diltiazem has a half-life of 3 to 4.5 hours, you’ll want to be sure the dose you give is right dose for the patient. Find out more in the following article.
Joanne Routsolias PharmD
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Figure 1. Troponin-I trend for patient presenting with chest pain.
The Case:
The patient is a 30-year-old female with no past medical history who presented with a complaint of chest pain that began 1 hour prior to arrival. She stated that the chest pain was on the left side, and it radiated all the way down her left arm and made her fingertips feel numb. She described the pain as a “heaviness.” The pain was accompanied by dyspnea on exertion. She denied nausea, vomiting, diaphoresis, fevers, and recent illness. She had no family history of cardiac disease. She denied all PE risk factors. She denied smoking, alcohol, and drug use.
Niyi Soetan MD
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Hypertension is one of the few complaints we see where the treatment can involve treatment with counseling to aggressive blood pressure control with close ICU monitoring. Here, future EM physician Dr. Davis discusses when and how to treat hypertension and its associated emergencies.
Christopher Davis, MS4
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