Cert Cardiology(SA) Paed Practice Questions - CMSA Sub-specialty Certificate In Cardiology Cert Cardiology(SA) Paed Exam

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A 10-day-old infant is brought to the emergency department in severe circulatory shock with tachypnea, poor perfusion, and profound metabolic acidosis. Femoral pulses are absent, whereas brachial pulses are palpable. Echocardiography confirms severe coarctation of the aorta with closure of the ductus arteriosus. What is the immediate first-line medical intervention?

Continuous intravenous infusion of Prostaglandin E1 (Alprostadil) High-dose intravenous furosemide bolus Intravenous sodium bicarbonate bolus Immediate administration of digoxin

Correct Answer:

Continuous intravenous infusion of Prostaglandin E1 (Alprostadil)

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