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A 52-year-old man with a history of diabetes mellitus and hypertension presents to the ED with palpitations and dyspnea that have been present intermittently over the past week. His vital signs include HR 135 beats/minute, blood pressure 136/87 mm Hg, RR 15 breaths/minute, and oxygen saturation of 97% on room air. His electrocardiogram is shown above. Which of the following is the most appropriate initial management?
A) Administer intravenous adenosine
B) Administer intravenous diltiazem
C) Sedate the patient and perform synchronized cardioversion with 100 joules
D) Transport the patient to the cardiac catheterization suite
Check out all of the episodes of “The Reveal” on the Rosh Review YouTube Channel.
The post How Would You Manage This Patient’s Palpitations & Dyspnea? appeared first on RoshReview.com.
By Rosh Review5
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A 52-year-old man with a history of diabetes mellitus and hypertension presents to the ED with palpitations and dyspnea that have been present intermittently over the past week. His vital signs include HR 135 beats/minute, blood pressure 136/87 mm Hg, RR 15 breaths/minute, and oxygen saturation of 97% on room air. His electrocardiogram is shown above. Which of the following is the most appropriate initial management?
A) Administer intravenous adenosine
B) Administer intravenous diltiazem
C) Sedate the patient and perform synchronized cardioversion with 100 joules
D) Transport the patient to the cardiac catheterization suite
Check out all of the episodes of “The Reveal” on the Rosh Review YouTube Channel.
The post How Would You Manage This Patient’s Palpitations & Dyspnea? appeared first on RoshReview.com.