Paramedics after collapsing on the street

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1. Ms. D, 67 yrs.old, is brought to the hospital by paramedics after collapsing on the street. She has a history if heart failure and has t=been taking digoxin and furosemide. The ED physician determines that she s experiencing a myocardial infarction accompanied by a severe ventricular dysrhythmia. Her blood pressure is normal, but her heart rate is only 45. The following drugs were among administered during 5-day hospital stay:

Lidocaine (in the ER)

Aspirin

Hydromorphone (Dilaudid)

What is the rational for each of the drugs?

Why would a beta blocker likely be contraindicated for Ms.D?

Can you offer a pharmacologic explanation for Ms.D's initial symptoms?

2. Some cardiac drugs may benefit multiple disorders. What classes of drugs mght be prescribed for patients who have both dysrhythmia and the following? Explain shortly each

a. Heart failure

b. Hypertension

c. Migraines

d. Seizure

Reference no: EM134007101

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