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4-week old infant is brought to the ER with tachycardia, tachypnea, poor weight gain. ABG= pH 7.34, paCO2 41mmHg, paO2 74mmHg. CXR-cardiomegaly. EchoCG-structurally normal heart, LV dilation, EF=20%, mild mitral and tricuspid regurg.IV administration of which of the following is the best initial step:
a. ACE inhib
e.furosemide? sounds like pt is fluid overloaded (CHF)
Correct, fluid overdose, furosemide is the answer.
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