A 42-Year-Old Man Is Admitted to the Hospital Due to Fever

question 598

Multiple Choice

A 42-year-old man is admitted to the hospital due to fever and shortness of breath.  He has chronic hepatitis C, HIV, and alcohol-induced cardiomyopathy.  Temperature is 38.6 C (101.5 F) .  Thrush is present in the oropharynx.  Chest x-ray reveals right lower lobe consolidation.  He is started on fluconazole and moxifloxacin.  The patient's pneumonia and thrush improve over the next 2 days.  However, he develops palpitations on the third day of hospitalization.  His ECG strip is shown in the exhibit.  Which of the following is the most appropriate next step in the management of this patient?

• A)Adenosine
• B)Amiodarone
• C)Atropine
• D)Calcium gluconate
• E)Magnesium sulfate
• F)Sodium bicarbonate
• G)Sotalol

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Definitions:

Overt-nondestructive

Refers to actions or behaviors that are openly performed without any intention to harm or destroy.

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Refers to illegal or antisocial behavior by minors.

Conduct Disorder

A psychological disorder observed in children and adolescents that is characterized by repetitive and persistent patterns of behavior that violate the rights of others or major age-appropriate societal norms or rules.

Parent Management Training

A treatment approach for conduct disorder in which therapists combine family and cognitive-behavioral interventions to improve family functioning and help parents deal with their children more effectively.