Hyperkalemia and Hypocalcemia on ECG

ECG of Hyperkalemia and Hypocalcemia


The prolonged QTc indicates Hypocalcemia.

The tall, narrow based T waves indicates Hyperkalemia.

The patient’s Pancretitis has caused the release of amylase and lipase and the resulting free fatty acids are “saponified” by calcium, resulting in hypercalcemia with a level of 7.2 mmol/l.

Her diabetic keto acidosis and Chronic Renal Failure have increased potassium to 8.2 mmol/l.

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