New PDF release: Modern Lens Design

By Smith W.J.

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Emergency Medicine. A Comprehensive Medicine Study Guide. McGraw-Hill, 2000. 4. Kitiyakar C, Guzman NJ. Malignant hypertension and hypertensive emergencies. Journal of the American Society of Nephrology January 1998; 9(1):133-42. Cardiovascular Disorders 23 5. Mathews J. Hypertension. In: Marx JA, Hockberger RS, Walls RM, eds. Emergency Medicine. Concepts and Clinical Practice. Mosby, 2002:2. 6. Murphy C. Hypertensive emergencies. Emergency Medicine Clinics of North America November 1995; 13(4):973-1007.

It can be given both IV and PO. Therapeutic effect can be seen in approximately 2-5 min and peaks in approximately 10 min. Initial loading dose of 20 mg over 2 min can be repeated in 10 min intervals until a response is noted. • IV labetolol produces orthostatic hypotension. • It does not cause a decrease in cerebral or peripheral blood flow and is safe in patients with coronary artery disease. • Contraindications are those for all β-blockers as a group and include bronchospasm, CHF, or heart block.

Although emergent cardiology referral and admission to the CCU are appropriate, this patient does not meet criteria for the administration of fibrinolytics. C) A 15-lead EKG performed in a patient with ST segment depressions in leads V1 and V2. In this case, the finding of ST elevation in leads V8 and V9 confirms that the changes in V1 and V2 actually represent an acute posterior infarction rather than only septal ischemia—this patient now meets criteria for revascularization therapy with fibrinolytics or percutaneous coronary intervention (PCI) • Emergent echocardiography has an important role in cases where the diagnosis of ACS or MI is still in question after the initial assessment and EKG.

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Modern Lens Design by Smith W.J.


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