q 1(part 4) - harry206

[ArchivalUser]

PLZ READ Q1 (PART 3) BEFORE READING THIS Q


Which of the following drug(s) is (are) indicated
in the initial management of this patient?

A) Aspirin.
B) Thrombolytic such as TPA or streptokinase.
C) Heparin.
D) A and B.
E) A and C.

[ArchivalUser]

dd

[ArchivalUser]

dd. but where is the ECG finding?

[ArchivalUser]

The correct answer is A. Since we are not sure that this
patient has a myocardial infarction or unstable angina,
there is no indication for a thrombolytic therapy or
heparin. Additionally, since she is now pain-free,
heparin carries more of a risk than a benefit at this
juncture. However, all patients with possible angina or
a myocardial infarction should have aspirin unless they
are truly allergic (hives, anaphylaxis). Answer B is
incorrect because thrombolytics are indicated for a
myocardial infarction, which this patient does not
have. Answer C is incorrect because, as noted, there
is no indication for heparin. Answer D is incorrect
because heparin would be considered a second-line
drug. Answer E is incorrect because B is incorrect