Correct!
6. Both 1 and 3
The patient demonstrates multiple findings suggestive of both hypovolemic and cardiogenic shock. Clinical elements suggesting hypovolemia are dry mucus membranes, the history of poor intake over the last 3 days and hypernatremia. Impaired cardiovascular function is reflected by bradycardia, cool extremities, and diminished pulses. The patient was aggressively resuscitated with intravenous fluids with minimal benefit. A transthoracic echocardiogram was obtained which demonstrated normal appearing left and right ventricular size/wall motion, contractility, and normal valves. No pericardial effusion was observed. Despite volume resuscitation, the patient’s blood pressure continued to drop, along with further slowing of his heart rate. EKG findings are shown in Figure 2.
Figure 2. Admission EKG.
What are the EKG findings of concern for a toxidrome? (click on the correct answer to proceed to the next panel)