rhan101277
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This is a test question I got wrong tonight. I want to see why the answer I chose was incorrect..
You are treating a patient with an acute MI and she begins developing increasing SOB. Upon reassessment you notice the patient has developed an S3 heart sound and now has basilar rales. VS BP 186/112, P118, R 24, O2 sat 96%. Which of the following would be a good choice to administer next?
Selected Answer: Incorrect Lasix 40mg IV
Correct Answer: Correct Dobutamine 10mcg/kg/min
I didn't consider doing a dobutamine infusion since blood pressure was already high, why make the heart work harder by using a powerful Beta 1 agonist? I mean yeah it creates more squeeze without increased heart rate but there should be plenty of pressure to clear that fluid from the lungs with a dose of Lasix.
Thoughts?
You are treating a patient with an acute MI and she begins developing increasing SOB. Upon reassessment you notice the patient has developed an S3 heart sound and now has basilar rales. VS BP 186/112, P118, R 24, O2 sat 96%. Which of the following would be a good choice to administer next?
Selected Answer: Incorrect Lasix 40mg IV
Correct Answer: Correct Dobutamine 10mcg/kg/min
I didn't consider doing a dobutamine infusion since blood pressure was already high, why make the heart work harder by using a powerful Beta 1 agonist? I mean yeah it creates more squeeze without increased heart rate but there should be plenty of pressure to clear that fluid from the lungs with a dose of Lasix.
Thoughts?