LEK Exam: 2018 sesja wiosenna, subject: Interna, question nr: 27

A 72-year-old patient complains of palpitations for the last 3 days, chest pain and dyspnea. He has never been treated cardiologically. HR 150/min, RR 100/60 mmHg, SaO 96% while receiving oxygen therapy with the flow rate of 10 L/min. On auscultation there are crepitations at the base of both lungs. ECG shows: (AF) Indicate the optimal treatment apart from heparin administration:

A. maneuvers stimulating the vagus nerve, possibly adenosine 6 mg iv in a bolus.

B. amiodarone 300 mg iv over 60 minutes, then amiodarone 900 mg iv infused over 24 hours

C. bisoprolol 5 mg iv

D. propafenone 2 mg / kg for 10 min

E. Electrical cardioversion

Dział: Interna

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