A 4-week-old infant presents with tachycardia, ta - a_antibody

[ArchivalUser]

A 4-week-old infant presents with tachycardia, tachypnea, and poor weight gain. His arterial blood gas shows a pH of 7.34, a PaCO2 of 41 mm Hg, and a PaO2 of 74 mm Hg. A chest radiograph shows cardiomegaly. Echocardiography reveals a structurally normal heart, left ventricular dilatation, a left ventricular ejection fraction of 20%, and mild mitral and tricuspid regurgitation. IV administration of which of the following medications is the best initial step in management of this patient?
A. Angiotensin-converting enzyme inhibitor
B. Corticosteroid
C. Digoxin
D. Epinephrine
E. Furosemide

[ArchivalUser]

C. Digoxin

[ArchivalUser]

Furosemide is the first DOC I think

[ArchivalUser]

c)

[ArchivalUser]

NO IDEA

[ArchivalUser]

This is dilated cardiomyopathy with congestive failure most probably- DOC furosemide- but may be digoxin could be too- any further opinions?

[ArchivalUser]

CCC

[ArchivalUser]

My answer is E agree with sunshine.any other ans pl?

[ArchivalUser]

the first step in CHF is preload reduction w/ Diuretics, Oxygen if that doesn't work you give dobutamine as a intropic positive, digoxin takes too much time to work, you can used as a outpatient and ACE inh later.

[ArchivalUser]

eEEEEEEee