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Review Question - QID 214590

Substance Intoxication and Withdrawal Cocaine Intoxication QID: 214590 (M2.OMB.4881)
In scope icon M 7 A
QID 214590 (Type "214590" in App Search)
A 44-year-old man presents to the emergency department with chest pain and dyspnea. His symptoms started suddenly 1 hour ago while he was playing poker with his friends. He has a history of alcohol abuse and takes no medications. His temperature is 99.2°F (37.3°C), blood pressure is 137/95 mmHg, pulse is 112/min, respirations are 22/min, and oxygen saturation is 100% on room air. Physical exam reveals a sweaty man with dilated but responsive pupils who is irritable. His heart rate is rapid and regular. An ECG is performed as seen in Figure A. Which of the following interventions is contraindicated in this patient?
  • A
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  • A