doyoudig
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A 70-year-old man is brought to the emergency department because of altered mental status. His spouse is concerned that he has unintentionally taken the wrong medications. She states that he easily gets confused about which medications to take. Concerned that he had missed some medications, he took a handful of his “heart pills.” The patient seems slightly confused and is unable to tell you which of his medications he took. He denies any pain, visual changes, shortness of breath, or constitutional symptoms. The rest of his review of systems is unremarkable. Past medical history is significant for atrial fibrillation, hypertension, and well compensated congestive heart failure believed to be secondary to a myocardial infarction 5 years ago. Medications include aspirin, atenolol, furosemide, warfarin, and a stool softener. His temperature is 37.0 C (98.6 F), blood pressure is 98/55 mm Hg, pulse is 43/min, and respirations are 20/min. Cardiac examination reveals bradycardia, but no abnormal heart sounds. The rest of the examination, including neurologic examination, is normal. A STAT electrocardiogram shows sinus bradycardia with first-degree heart block. A CT scan of the head reveals diffuse atrophy, but no sign of acute bleeding. Laboratory studies show:
Which of the following is the medication most likely to reverse this patient’s medication overdose?
A. Atropine
B. Dialysis
C. Epinephrine
D. Flumazenil
E. Glucagon
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| Justice
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Probably atenolol (the only cardio drug on the list, although the Pt denies any pain, visual changes, shortness of breath) overdose
Give E. Glucagon
Edited by Justice on 04/27/07 - 02:38 PM
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| new_n_lost
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Justice wrote:
Probably atenolol (the only cardio drug on the list, although the Pt denies He denies any pain, visual changes, shortness of breath) overdose
Give E. Glucagon
 Agree
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| doc_clotaire
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Yeap !
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| doyoudig
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yes E is the correct answer
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| sachida
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Agreed glucagon
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