3 Questions
What is the first step in treating hypercyanotic attacks?
The knee-chest position and oxygen administration
Which drug can be injected in a limited dose to calm the infant during hypercyanotic attacks?
Morphine
What can drugs like phenylephrine and propranolol do to improve symptoms of hypercyanotic attacks?
Increase systemic vascular resistance and improve RV outflow
Study Notes
- Hypercyanotic attacks can be treated with a sequence of procedures.
- The knee-chest position and oxygen administration are among the first steps.
- Morphine can be injected in a limited dose to calm the infant.
- Premature attempts to obtain blood samples may be counterproductive.
- Rapid correction of metabolic acidosis with sodium bicarbonate may be necessary for severe spells.
- Recovery is usually rapid once pH has returned to normal.
- Intubation and anesthetic sedation may be needed for resistant spells.
- Drugs like phenylephrine and propranolol can improve symptoms.
- Phenylephrine increases systemic vascular resistance and improves RV outflow.
- Propranolol is administered slowly and in a limited dose.
Test your knowledge on the treatment of hypercyanotic attacks with this informative quiz. Learn about the sequence of procedures involved in treating these attacks, including the use of the knee-chest position, oxygen administration, and limited doses of morphine. Discover why premature attempts to obtain blood samples may be counterproductive and when rapid correction of metabolic acidosis with sodium bicarbonate is necessary. Explore the use of drugs like phenylephrine and propranolol to improve symptoms, and understand when intubation
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