A 29-year-old woman has recently been diagnosed with a deep vein thrombosis. She has a past medical history of asthma for which she takes salbutamol inhaler occasionally. The nurse on the ward has just administered enoxaparin when the patient complains of a tight chest and a swollen tongue. Her pulse is 100 beats per minute, blood pressure is 100/60mmHg and her SpO2 is 98% on air.
This patient is showing signs and symptoms of: This patient has received enoxaparin, a low molecular weight heparin, which has been reported to cause anaphylaxis. She may be susceptible to further attacks while the enoxaparin is eliminated from the body.
The nurses lay the patient flat and raise her legs while you secure her airway.
Which of the following drugs should you administer next? A 62-year-old man presents with heart failure. He has dyspnoea, orthopnoea, cyanosis, rales, and pitting oedema of the feet and ankles.
Investigations reveal:
U + Es - Normal
eGFR - 100 ml/minute/1.73 m2
Blood pressure - 120/78 mmHG
Pulse - 95 beats per minute (regular).
Which initial treatment should you prescribe? Which of the following side-effects may occur while this patient is receiving this treatment? Which treatment should you prescribe next? |
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