ECG Quiz
Tracing-based questions to build confidence in Pediatric arrhythmias and Treatment.
1.
A 2-year-old child, weight 12 kg after ASD repair, intubated, on a ventilator, and with minimal inotropes. He has two chest drains, one mediastinal, and a right pleural. He has urine output 5 ml/kg/hour.
ECG
Atrial flutter is a supraventricular tachycardic arrhythmia common after Pediatric Heart Surgeries
Rx: optimise the electrolytes, plan amiodarone and consult EPS.
2.
A 7 days-old infant, weight 2.8 kg after d-TGA repair, intubated, on a ventilator support, and with high inotropes. He has three chest drains, one mediastinal, and two pleural. He became Hypotensive.
ECG
Ventricular tacycardia, common after ASO operation due to coronary related ischemia.
Rx: Pulseless – Defibrillator Shock. With Pulse but unstable – Synchronized shock. Stable – Amiodarone/lidocaine infusion
