jb00727
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A 62-year-old man is brought to the ED by ambulance with confusion and dyspnea. BP is 80/60. With inspiration, SBP decreases to 55. The monitor shows a HR of 121 beats per minute, with vacillating amplitude of the QRS complex. RR is 26 breaths per minute, and oximetry saturation is 91 percent. Physical examination shows jugular venous distention (JVD), distant heart sounds, cool extremities, and diaphoresis. Chest x-ray is grossly normal. Which of the following would be the MOST effective therapeutic intervention?
(A) Large-volume resuscitation with crystalloid, oxygen, and emergent diagnostic spiral CT
(B) Large-volume resuscitation with crystalloid, oxygen, and dopamine
(C) Immediate intubation, large-volume resuscitation, and dopamine
(D) Large-volume resuscitation, oxygen, and immediate involvement of cardiology consult for placement of an intraaortic balloon pump
(E) Large-volume resuscitation, oxygen, and
pericardiocentesis
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| Ouli Maty
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Cardiogenic shock secondary to cardiac tamponade
answer E.
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deep breathing...
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| jb00727
Forum Elite
Topics: 82
Posts: 190
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correct
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