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Jeff Laabs RCP
Posted on Saturday, March 04, 2006 - 10:11 am:   

I have been teaching all my nurses that if your patient is monitored with a rhythm strip they should do the basic QT measurment (>50% of the R-R) every shift along with the standard measurments. If abnormal report it to the MD. The rational being, just because the QT was normal today does not mean it will be normal tomorrow especially with all the medications we give in the hospital. Is this a reasonable approach?
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Dr. Jorgen Kanters
Username: Jorgen

Registered: 08-2003
Posted on Saturday, March 04, 2006 - 01:43 pm:   

It seems reasonable. It would be preferable to calculate the QTc. Remember that with fast heart rates it is not unusual to get a increased QTc

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