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MCCQE 1 Forum Hot - Unanswered
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ninooSend an Instant Message to ninoo  




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Quick Scroll 05.11.08 (1 month ago) #11

rarely requires pacemaker
i think iv dbutamine or atropine if in the choices
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Quick Scroll 05.11.08 (1 month ago) #12

Post MI patient is still in CCU. if such a slow rate continues, there might be a tragedy. Cardioversion is for the rhythm, not rate. Atropine is for the sinus bradycardia.
What do yuo think this patient has ?
This patient is in 'Sick sinus'. It's not a simple question. You should consider QE1 always 'tricky'.
I think the correct answer is 'Pacemaker' - a temporary pacemaker. Cardiologists in CCU use temporary pacemaker for the 'Sick sinus' whenever it comes.
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Quick Scroll 05.11.08 (1 month ago) #13

Post MI patient is still in CCU. if such a slow rate continues, there might be a tragedy. Cardioversion is for the rhythm, not rate. Atropine is for the sinus bradycardia.
What do yuo think this patient has ?
This patient is in 'Sick sinus'. It's not a simple question. You should consider QE1 always 'tricky'.
I think the correct answer is 'Pacemaker' - a temporary pacemaker. Cardiologists in CCU use temporary pacemaker for the 'Sick sinus' whenever it comes.
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maryanaSend an Instant Message to maryana  




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Quick Scroll 05.12.08 (1 month ago) #14

Pacemaker, TN 2007, C15
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Quick Scroll Re: post-MI bradycardia 05.13.08 (1 month ago) #15

H2O wrote:
Patient in ICU post-MI developed bradycardia, pulse at 32 per min. What is the best management. ?
a.Cardioversion
b.Pacemaker ****** they ask about the best ttt , if it were initial ttt then the ans is atropine
c.IV Dobutamine
d.Digitalis
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Quick Scroll Re: post-MI bradycardia 05.13.08 (1 month ago) #16

H2O wrote:
Patient in ICU post-MI developed bradycardia, pulse at 32 per min. What is the best management. ?
a.Cardioversion
b.Pacemaker ****** they ask about the best ttt , if it were initial ttt then the ans is atropine
c.IV Dobutamine
d.Digitalis
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mikejonathan20055Send an Instant Message to mikejonathan20055  




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Quick Scroll 05.20.08 (1 month ago) #17

Cardioversion
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Quick Scroll 05.20.08 (1 month ago) #18

pacemaker it is.
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Quick Scroll 05.20.08 (1 month ago) #19

b- pacemaker
Acute Treatment of Conduction Disturbances and Bradyarrhythmias

Treatment of the conduction disturbances and resulting bradyarrhythmias in post STEMI can have either a prophylactic or therapeutic focus. The purpose of prophylactic pacing is to prevent symptomatic or catastrophic bradycardia by selecting and placing a transcutaneous or transvenous temporary pacemaker. To aviod complete heart block, need temporary pacemaker
Karim's search
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Quick Scroll 05.24.08 (1 month ago) #20

I believe temporary pacemaker. the most important question is wheather this patientient is symptomatic with this heart rate or no.
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