Tuesday, February 2, 2016

a patient who is in acute pulmonary edema-DrSudeepKC

You are managing a patient who is in acute pulmonary edema, with cool clammy skin. His blood pressure is 84/56 mmHg. The medication of choice in this patient would be:

a. Epinephrine.
b. Dobutamine.
c. Vasopressin.
d. Phenylephrine.
e. Norepinephrine.


The answer is b. This patient is presenting with cardiogenic shock. In this case, to improve myocardial contractility,dobutamine and dopamine are the agents of choice begun in order at the same doses used for septic shock.

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