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post MI

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7 Posts

MDcooper
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Topics: 211
Posts: 470

07/13/06 - 11:59 AM

A patient with MI develops ventricular tachycardia.Which drug do u think will be most appropriate to give?

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Geroo
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Topics: 114
Posts: 799

07/13/06 - 12:03 PM

Lidocaine

achilles
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Topics: 89
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07/13/06 - 12:13 PM

should'nt it depend on if the pt is stable or unstable.

stable-->lidocaine

unstable--> shock

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MDcooper
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Topics: 211
Posts: 470

07/13/06 - 12:17 PM

yes lidocaine.It is a cardio depressant but we have to be careful about the doses as at higher doses it might stimulate CNS and cause seizures.

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Geroo
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Topics: 114
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07/13/06 - 12:29 PM

yes achilles you are right,but he was asking which drug.

drk1980
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Topics: 147
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07/13/06 - 06:02 PM

another point: Lidocaine is discouraged for prophylaxis against VFib post AMI......coz it inc teh risk of asystole [UW]

achilles
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Topics: 89
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07/13/06 - 06:44 PM

right geroo and good point drk1980.

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