PROLONGED QT.WHY? And HOW TO MANAGE? A 65 year old female we
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Monika Mandava
PROLONGED QT.WHY? And HOW TO MANAGE?
A 65 year old female weighing 58 kgs and 5 feet tall was admitted to the hospital with complaints of
-fever with chills
-Cough
-Burning micturition and
-Chest discomfort
She is a k/c/o HTN and T2DM and was on drugs
-GLIMEPRIDE 4mg
-METFORMIN 500mg
-AMLODIPINE 5mg
O/E Tachypnea;Xray shows presence of microflora
WBC COUNT was found to be 28900cells/m3 (Neutrophils 84%)
She was diagnosed with
R/UL PNEUMONIA AND UTI(K.Pneumonia-sensitve to Imipenem,Meropenem,Piperacillin,Doripenem,Ciprofloxacin,Levofloxacin,Norfloxacin,Cefotaxime,Ceftazidime, Cefoperazone)

She was prescribed with:
-Pantoprazole 40mg/od
-Ondansetron 4mg/Bd
-Paracetamol 650mg/TID
-Salbutamol+ Ipratropium respules TID
-Meropenem 1g/TID
-Linezolid 600mg/TID
-Levofloxacin 500mg/OD

Her WBC count reduced to 14000 cells/m3 and was clinically better by Day 5 ,but her QTc was found to be 476 ms (Prolonged).
What would be the reason and how would you manage it?
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