Question 116 · LEK · Pulmonary embolism
How should a sudden attack of dyspnea be managed in a 25-year-old woman in 28th week of gestation, who was diagnosed with asthma at the age of 5-6, who has had no asthma attacks for at least 15 years, and has normal respiratory sounds and the heart rate 130/min?
- A. give 2 inhalations of salbutamol asap.
- B. give 2 inhalations of salbutamol and inject 100 mg of hydrocortisone i.v.
- C. urgently refer the patient to the hospital and give heparin.
- D. calm the patient with psychotherapeutic measures.
- E. subject the patient to outpatient observation for at least 6 hours.
Hint
Normal breath sounds argue against an asthma attack; consider the thrombotic risk of pregnancy and sudden dyspnoea with marked tachycardia.
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