FC Emerg Med(SA) Part II Practice Questions - Fellowship Of The College Of Emergency Medicine Of South Africa Part II Exam

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A 58-year-old male with a history of heart failure presents with crushing chest pain, dyspnoea, BP 72/40 mmHg, HR 115 bpm, and bilateral pulmonary crackles. Bedside echocardiogram shows left ventricular ejection fraction of 15% with a non-dilated, underfilled right ventricle. What is the most appropriate initial pharmacological agent?

Dobutamine combined with low-dose norepinephrine infusion Intravenous bolus of 500 mL normal saline Intravenous furosemide 80 mg IV push Intravenous sublingual nitroglycerin spray 400 mcg every 5 minutes

Correct Answer:

Dobutamine combined with low-dose norepinephrine infusion

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