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Old 09-11-2011
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Default which drug ?

A 66 year old woman has been admitted to the coronary care unit with a left ventricular myocardial infarction.If this patient develops acute severe heart failure with marked severe pulmonary edema,which of the following would be most useful in this case ?
(A.) Digoxin
(B.) Furosemide
(C.) Minoxidil
(D.) Propanolol
(E.) Spironlactone
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Old 09-11-2011
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B.furosemide
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Old 09-11-2011
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furosemide seems more appropriate.
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Old 09-11-2011
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Quote:
Originally Posted by sparkle_asp View Post
A 66 year old woman has been admitted to the coronary care unit with a left ventricular myocardial infarction.If this patient develops acute severe heart failure with marked severe pulmonary edema,which of the following would be most useful in this case ?
(A.) Digoxin
(B.) Furosemide
(C.) Minoxidil
(D.) Propanolol
(E.) Spironlactone
(B)furoximide
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Old 09-11-2011
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(B.) Furosemide
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Old 09-11-2011
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my guess is sprionlactone, which is benificial for heart failure cuz u can get rid of Na and it is given in combination with ACE inh!
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Old 09-11-2011
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Quote:
Originally Posted by sparkle_asp View Post
A 66 year old woman has been admitted to the coronary care unit with a left ventricular myocardial infarction.If this patient develops acute severe heart failure with marked severe pulmonary edema,which of the following would be most useful in this case ?
(A.) Digoxin
(B.) Furosemide
(C.) Minoxidil
(D.) Propanolol
(E.) Spironlactone
sure its B furosemide ..... loop diuretics are most useful ...
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Old 09-12-2011
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The correct answer is B.) Furosemide ,Acute severe congestive failure with pulmonary edema often requires a vasodialator that reduces intravascular pressure in the lungs.Furosemide has several vasodialating actions in the context of acute failure.

Minoxidil would decrease arterial pressure and increase heart rate excessively henceforth would not be preferred.

Digoxin has a slow onset of action and lacks vasodialating effects.

Spironlactone would be useful in chronic failure but not in acute pulmonary edema.
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