71 years old male known case of CHF come with dyspnea and PND and lower limb edema. BP 127/80, HR 115, o2 95%
سؤال مجاني 9 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة والشرح
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الإجابة: B. Iv furosemide
Known CHF with dyspnoea, PND and leg oedema = acute decompensated heart failure; the most important treatment is IV furosemide for volume overload. IV metoprolol would further reduce contractility in decompensated HF, digoxin is not useful acutely, and anticoagulation does not treat congestion.
ليش كل خيار صح أو غلط
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A
ليش غلط
Digoxin takes several weeks to work and is not indicated in an acute setting.
✓ Step-Up To Medicine 6th (HF).pdf · p. 11 -
B
ليش صح
Diuretics to treat volume overload and congestion are the most important intervention in acute decompensated HF.
✓ Step-Up To Medicine 6th (HF).pdf · p. 11 -
C
ليش غلط
In decompensated HF a beta-blocker will further decrease contractility, stroke volume and cardiac output.
✓ (Y4)-(M B) Hypertension.pdf · p. 13 -
D
ليش غلط
Anticoagulation is not among the listed acute decompensated HF treatments (oxygenation/ventilation, diuretics, vasodilators, inotropes, salt and fluid restriction).
✓ Step-Up To Medicine 6th (HF).pdf · p. 11
- المصدر
- Step-Up To Medicine 6th (HF).pdf · p. 11
(Y4)-(M B) Hypertension.pdf · p. 13 - المحاضرة
- Acute Pulmonary Oedema · Cardiology · Module B
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- Cardio bank