Progressive dyspnea and confusion

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Reference no: EM133758955

Question

A 67-year-old woman is brought to the emergency department by her daughter because of progressive dyspnea and confusion for the past two days. Past medical history is significant for ischemic cardiomyopathy, heart failure with reduced ejection fraction (estimated to be 30%), type 2 diabetes mellitus, and hyperlipidemia. The patient reports recent medication nonadherence. Temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 20/min, and blood pressure is 80/45 mmHg. Physical examination shows elevated jugular venous pressure, bibasilar crackles, an S3 heart sound, and lower extremity edema. The patient is started on intravenous infusion of an agent that increases cardiac contractility and decreases systemic vascular resistance without significant change in arterial blood pressure. Which of the following is an example of this drug? Elimination tool Midodrine Dobutamine Norepinephrine High-dose dopamine Phenylephrine.

Reference no: EM133758955

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