mortality !

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mortality !

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doc_clotaire
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10/29/07 - 12:28 PM

You passed all your steps and you are doing your Residency in NY hospital in . A 50 yo woman come in the ER because of shortness of breath .Her has a RR of 32 x " , BP 140/ 90 Temp : 37.0 She also have a gallop and a murmur at the apex . Further exam shows maked jugular distention and bilateral rales to the apices . Her abodmen is soft and non tender and you also find edema in her extremities .

What drug would increase mortality in this patient .

a ) carvedilol

b ) captopril

c ) spirinolactone

d ) hydralazine

f ) amrinone

g ) milrinone

h ) hydroclorothiazide

i ) digoxin

k ) digitoxin

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Ivonne
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10/29/07 - 02:16 PM

hidralazine

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gr8doc
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10/29/07 - 02:27 PM

Captopril

rain-maine
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10/29/07 - 04:42 PM

hydralazine

neuroblastoma
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10/29/07 - 06:48 PM

B Captopril for CHF (jugular distention and bilateral rales to the apices)

Ace inhibters ,aspirin, betablockers, spironolactone --all decrease mortatlity.

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Ivonne
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10/29/07 - 07:28 PM

doc_clotaire wrote:

What drug would increase mortality in this patient .

Not decrease but INCREASE MORTALITY

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neuroblastoma
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10/29/07 - 07:35 PM

hahahahhahaha....oh boy!!!!! yeah.ooopsi

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doc_clotaire
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10/29/07 - 08:14 PM

Good call Ivonne nod

but still no right answer yet, please try again all

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titly
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10/29/07 - 10:46 PM

milrinone.

it is used only if the therapy with diuretics and vasodilators fail since it can cause fatal side effects like ventricular arrhythmias

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neuroblastoma
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10/30/07 - 12:10 AM

#10

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neuroblastoma
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10/30/07 - 12:11 AM

#11

inotrope Milrinone, leads to increased mortality.
http://en.wikipedia.org/wiki/Congestive_heart_fai...

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gr8doc
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10/30/07 - 05:38 PM

#12

Good Job !!!

drdg
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10/30/07 - 08:00 PM

#13

doc_clotaire
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10/31/07 - 04:43 PM

#14

Very good Titly nod

The answer is Milrinone

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