Guptashutosh
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38. One day after missing her dialysis treatment, a 27-year-old woman comes to the physician because of generalized weakness. Her blood pressure is 95/72 mm Hg, and pulse is 45/min and regular. Examination shows a well-functioning arteriovenous fistula in the left upper extremity. Muscle strength is 3/5 in all extremities. An ECG shows third-degree atrioventricular block. Laboratory studies are ordered. Which of the following is the most appropriate next step in management?
A ) Kayexalate-sorbitol enema
B ) Intravenous administration of calcium gluconate
D ) Immediate placement of a pacemaker
E ) No treatment pending laboratory results
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| prathapdoctor
Forum Elite
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intravenous administration of calcium gluconate.
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| young_doc
Forum Guru
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A?
to get rid of the excess Potassium...
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First Aid is my Bible...
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| nida
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D ) Immediate placement of a pacemaker
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| r_albayunen
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hmmmm a or b??
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| liwei
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3rd degree need pacemaker
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| Mahwish Mushtaq
Forum Junior
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it's D
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| anjushree
Forum Guru
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B----HYPERKALEMIA in CRF Is responsible
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| dr.wad
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( B )
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| r_albayunen
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thats right 3 degree av block goes for -pacemaker- even if the patient is asymptomatic
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| fongch
Forum Elite
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I also think a pacemaker is necessary for 3rd degree AV block no matter what the underlying cause is.
Edited by fongch on 05/12/07 - 11:31 AM
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