A 37-year-old man presents with chest pain after cocaine use.
During assessment he has a brief self-limited seizure. His observations are RR 12/min, pulse 130/min, BP 140/69 mmHg, SaO2 95% on room air and temperature 37 degrees C.
The ECG obtained after the seizure is shown below.
ECG.
List and explain three ways cocaine may cause chest pain.
(Marked out of 6.0)
/ 6
Describe and interpret the ECG.
(Marked out of 2.0)
/ 2
Describe two pharmacodynamic properties of cocaine that lead to tachydysrhythmias.
(Marked out of 2.0)
/ 2
Outline your approach to treating this tachydysrhythmia.
(Marked out of 3.0)
/ 3
Beta-selective adrenoreceptor blockers have traditionally been contraindicated in this setting. Explain why.
(Marked out of 2.0)
/ 2
Total Score: 0 / 15
Percentage: 0%
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