Citations 2
Escalating the dose and downgrading the rhythm: the combination of prescribed and non-prescribed medications resulting in an abnormal heart rhythm
Saunders, Hollie , Joyce, Nicole , Garland, Jeffrey, Cowdell, Jed C. , Cowdell, Jed Colt
Age and Ageing | May 21, 2020 | Volume: 49 | Issue: 6 | Pages: 1112-1113
Abstract Older patients often have multiple medical issues which predisposes them to complications of polypharmacy and medication interactions. We present a case of an 89-year-old female who presented to the emergency department after a fall. An electrocardiogram (ECG) showed a junctional bradycardia with a ventricular rate of 50 beats per minute (BPM). Her magnesium was 3.5 mg/dl (1.7–2.3 mg/dl). She had recently increased her milk of magnesia use for constipation. Pertinent other medications included verapamil 280 mg daily. On admission 2 grams of calcium gluconate IV were administered and the verapamil was held. An ECG the next morning showed sinus rhythm with a ventricular rate of 76 BPM.
A 32-year-old man with hypoxemia and bilateral upper-lobe predominant ground-glass infiltrates on chest imaging
Heckman, Alexander , McCain, Josiah D. , Cowart, Jennifer B. , Garland, Jeffrey, Heckman, Alexander J, Maniaci, Michael J. , Garland, Jeffrey L, Helgeson, Scott A.
Oxford Medical Case Reports | October 3, 2018 | Volume: 2018 | Issue: 10 | Pages: No page available