04-13-2007, 04:56 AM
6. A 19-year-old white college student is brought to the emergency department by her two roommates because of shortness of breath. The roommates tell you that her symptoms came on suddenly about one hour after they picked her up at the airport where she had arrived after a 6-hour flight from visiting her parents. The patient has rapid and shallow breathing, and with difficulty she tells you, "I can't get my breath and I'm having pains in my chest. My face is numb. I think I'm dying. Do something. Do something!" She says she has never had an experience like this before. She always has been healthy and she takes no medications except for combination oral contraceptive therapy. Physical examination is normal except for tachypnea and tachycardia. Electrocardiogram shows sinus tachycardia but is otherwise normal. Arterial blood gas values while breathing room air show:
PO2
99 mm Hg
PCO2
30 mm Hg
pH
7.44
Which of the following is the most appropriate long-term pharmacotherapy?
A
) Bupropion
B
) Gabapentin
C
) Lorazepam
D
) Metoprolol
E
) Paroxetine
panic attack?
PO2
99 mm Hg
PCO2
30 mm Hg
pH
7.44
Which of the following is the most appropriate long-term pharmacotherapy?
A
) Bupropion
B
) Gabapentin
C
) Lorazepam
D
) Metoprolol
E
) Paroxetine
panic attack?