It’s intern year and you’re on nights in the MICU. You’re always a little bit out of your element when not in the ED. Tonight you get sign out on an older lady with afib and CHF presenting for AMS, being followed by neuro and on BiPAP and critically ill Read more…
Digitalis, a cardiac glycoside, is an age-old drug used since the time of the Romans. It wasn’t until the 18th century when the study of digitalis propelled humankind into the age of modern medicinal therapeutics. The cardiac glycosides are isolated from the foxglove and were espoused by William Withering, a famous Read more…
A 70 y/o woman with CHF, irregular heart beat and DM presents with malaise, nausea, vomiting and diarrhea x 1 week. On exam, she appears weak and confused. Vitals are normal except mild bradycardia. FS is 100. EKG is shown. Read more…