lidia
Forum Junior
Topics: 5
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A 68 year old man known to be a chronic smoker and alcoholic has been brought to ER with chest pain and difficulty breathing for 30 min. An ECG shows irregular and wide ventricular complexes with a frequency of 160. BP is 90/60, no fever. The physician administered an iv drug and the patient becomes groggy and has convulsions.
The most likely drug that the patient received is:
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| jasonw
Forum Senior
Topics: 46
Posts: 119
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I would say that the drug is Lidocaine.
What bout the ECG? Irregular wide ventricular complex?
V-tach will be regular.... not irregular...
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| lidia
Forum Junior
Topics: 5
Posts: 47
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Right jasonw it's lidocaine a quite benign iv drug considering the adverse effects. There is a problem when a patient has decreased hepatic clearance (alcoholics) and cardiac failure(VT+MI) because the drug concentration decrease is not as rapid as it is in a normal person and that might result in neurological side effects.
The VT should be regular ... sorry for the mistake.
Best for you!
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| jasonw
Forum Senior
Topics: 46
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good question!
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| lidia
Forum Junior
Topics: 5
Posts: 47
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Thanx! 8)
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| jasonw
Forum Senior
Topics: 46
Posts: 119
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what is the most common form of malginant melanoma?
a.lentigo maligna
b.superficial spreading
c. nodular malignant
d. acral lentiginous
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| jasonw
Forum Senior
Topics: 46
Posts: 119
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what is the most common form of malginant melanoma in african american pt?
a.lentigo maligna
b.superficial spreading
c. nodular malignant
d. acral lentiginous
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| jasonw
Forum Senior
Topics: 46
Posts: 119
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sorry those 2 questions are not supposed to be here...
:oops:
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| preetha
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superficial spreading.Most common in african american is acral lentiginous
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| mohannad
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i think the drug is sulbutamol. just a try.
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