Re: Fw: Interesting Test question from medic student

[Guest guest]

I would consider a third, unmentioned option - continue with 100% o2

attempting to abolish the PVC's without pharmaceutical intervention. This

should correct both the rate and rhythm.

Donn

Interesting Test question from medic student

What if ???

54 y o m pt c/o mild chest pain, dypsnea, diaphoretic, cap refil = 3 sec.,

vital signs BP 80 / 40, P 40, R 22 , EKG shows HR 80 bigeminal PVCs,

Have pt on high flow O2, IV established. You have two treatment options...

1. Treat with atropine to attempt to cure mechanical HR of 40 w/ hopes of

stopping PVC's indirectly.

2. Treat pt with Lidocaine to relieve PVC's and hopefully HR would maintain

at 80.

PICK ONE.... let us know

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