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q6 - zzetegn - Printable Version

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q6 - zzetegn - ArchivalUser - 06-10-2007

A young man is found by the security guards outside the doors of the emergency room screaming and agitated. His blood pressure is 145/100 mm Hg, with a heart rate of 123/min, a temperature of 101.0 F, and a respiratory rate of 22/min. During the examination, the patient begins having a generalized seizure with urinary and fecal incontinence. The patient is intubated for airway protection, and the physical examination is continued. His pupils are dilated. His sodium is 143 mEq/L, with a creatinine of 0.9 mg/dL and a glucose of 126 mg/dL. Which of the following would be most useful for this patient?

(A) Propranolol
(B) Benzoylecgonine in the urine
© N-acetylcysteine
(D) Lumbar puncture and flumazenil



0 - ArchivalUser - 06-10-2007

b.........


0 - ArchivalUser - 06-10-2007

why b? any explanation


0 - ArchivalUser - 06-10-2007

its a metabolite of cocaine