Q@Qtime ① - cardio69

[ArchivalUser]

A 65 y/o F ECG of pat reveal http://i.imgur.com/WYPwccG.png?1 Pat suffering from HF and been taking digoxin, furosemide and captopril for 3months and the problem was well controlled. You believed that the ECG issue was due to digoxin therapy. Which of the following would be a next appropriate adjustment for your pat?


a)Add dobutamine -> DEC digoxin dose
b)Add physostigmine -> DEC digoxin dose
c)Add atropine -> DEC digoxin dose
d)Stop digoxin -> start metoprolol
e)Stop digoxin -> start losartan
f)Discontinue digoxin -> start milrinone


Read me the ECG tracings?


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[ArchivalUser]

well the EKG shows inverse T wave and prolonged PR due to digoxin toxicity.

I guess because there is bradycardia we go with C?

[ArchivalUser]

ECG?
1st
2nd
3rd
Block?

[ArchivalUser]

It looks like there was progressive prolongation of the P wave with a QRS drop so Mobitz 1 2nd degree heart block.

[ArchivalUser]

I want you open your FA review it and get back to me.

[ArchivalUser]

Is it third degre?

[ArchivalUser]

My mistake. It's 3rd degree.

[ArchivalUser]

Make sure pay attn to my drills

[ArchivalUser]

I will. Thank you for the Qs.

was the answer c?

[ArchivalUser]

f?