Patient unstable hypotensive had right ventricular failure, ECG of the right side was done. what is the initial management?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: A. IV NS
RV infarction (usually with inferior MI/RCA occlusion) causes hypotension with clear lungs because the RV cannot deliver preload to the LV; these patients are preload dependent, so the first step is IV normal saline to raise cardiac output and BP. Nitroglycerin is avoided because it drops preload further and can cause collapse.
ليش كل خيار صح أو غلط
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A
ليش صح
In RV infarction patients are preload dependent: IV fluid raises cardiac output and BP, and nitroglycerin is avoided.
✓ 4• Coronary Artery Disease [Notes].pdf · p. 4 -
B
ليش غلط
In RV infarction (preload dependent) nitrates and diuretics must not be given, as they lower preload and BP.
✓ Step-Up To Medicine 6th (IHD & ACS).pdf · p. 16
- المصدر
- 4• Coronary Artery Disease [Notes].pdf · p. 4
Step-Up To Medicine 6th (IHD & ACS).pdf · p. 16 - المحاضرة
- Acute Coronary Syndrome · Cardiology · Module B
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- Cardio bank