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37. Which statement is correct concerning pharmacological support during post-resuscitation management?Dobutamine generally decreases myocardial contractility.Milrinone and inamrinone always increase heart rate and myocardial demand.Treat hypotension with vasopressors if needed, titrated to BP.In infants, with significant circulatory instability and hypotensive shock, do not administer epinephrine38. The most common forms of distributive shock include all of the following EXCEPT:Cardiogenic shockAnaphylactic shockNeurogenic shockSeptic shock39. Initial management of respiratory distress or failure include:Suctioning and providing supplemental oxygenOpening and supporting the airwayAssessing oxygenation with a pulse oximeterAll of the above

Question

  1. Which statement is correct concerning pharmacological support during post-resuscitation management?Dobutamine generally decreases myocardial contractility.Milrinone and inamrinone always increase heart rate and myocardial demand.Treat hypotension with vasopressors if needed, titrated to BP.In infants, with significant circulatory instability and hypotensive shock, do not administer epinephrine38. The most common forms of distributive shock include all of the following EXCEPT:Cardiogenic shockAnaphylactic shockNeurogenic shockSeptic shock39. Initial management of respiratory distress or failure include:Suctioning and providing supplemental oxygenOpening and supporting the airwayAssessing oxygenation with a pulse oximeterAll of the above
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Solution

  1. The correct statement concerning pharmacological support during post-resuscitation management is "Treat hypotension with vasopressors if needed, titrated to BP." Dobutamine generally increases myocardial contractility, not decreases. Milrinone and inamrinone do not always increase heart rate and myocardial demand. In infants, with significant circulatory instability and hypotensive shock, epinephrine can be administered.

  2. The most common forms of distributive shock do not include "Cardiogenic shock". Cardiogenic shock is a type of shock caused by the heart's inability to pump enough blood, not a form of distributive shock. Anaphylactic, neurogenic, and septic shock are all forms of distributive shock.

  3. The initial management of respiratory distress or failure includes "All of the above". Suctioning and providing supplemental oxygen, opening and supporting the airway, and assessing oxygenation with a pulse oximeter are all initial steps in managing respiratory distress or failure.

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