Dobutamine (beta agonist)

You administer dobutamine as you remember that beta agonists are effective in increasing contractility and thus cardiac output in heart failure. 

Later that evening, Dr. Taylor is frantically looking for you. She tells you that Mrs. Reed experienced ventricular fibrillation, presumably due to dobutamine. Mrs. Reed was treated appropriately and stabilised. 

Dr. Taylor reminds you that inotropic therapy is required in patients with acute heart failure, when there is clinical evidence of hypotension associated with hypoperfusion to maintain systemic perfusion and preserve end-organ performance. This was not indicated in Mrs. Reed's case.

Since this is a virtual patient, you please go back and try again.

  • Emergency Department

Map: Faith Reed_ORU_1 (1090)
Node: 20586
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Opción 2
  • Learning Point:
  • Ramipril (ACE inhibitor)
  • Η ποιότητα ζωής του ασθενούς χειροτερεύει
  • Διάχυση
  • Sacubitril-valsartan (ARNI)
  • I couldn’t see you clearly, can we adjust the visual presentation?
  • PICO
  • Salmeterol (LABA)
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever).
  • Opțiunea 2
  • Observation
  • Salbutamol (SABA)
  • Furosemide (loop diuretic)
  • History of Medications
  • Opción 1
  • Decreased levels of HDL
  • The patient will be dissatisfied, and might not come to the next appointment and you will lose the follow up. You will also not have enough data about patient’s progress.
  • Increased LDL uptake in hepatocytes
  • you will need to adjust the camera focus and sit further from camera
  • B, C, F
  • If you use antacids, it's better to use calcium carbonate
  • Dobutamine (beta agonist)

Reminder

FINISH

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