A 50 years old man is admitted to the hospital with acute myocardial infarction. After 12 hours he becomes hypotensive and oliguric. He is lying comfoably on his back, B.P. is 90/60 mmHg, hea rate is 60 BPM and JVP is 15 cm H2O. The hea sounds are regular without gallop, murmur or rub and the lungs are clear on auscultation. The next step should be to give:
This patient probably has an inferior wall myocardial infarction complicated by right ventricular involvement. The Cardiac output is probably depressed because of low left hea filling pressure secondary to right ventricular infarction. The initial treatment should be to administer fluids intravenously.
Intravenous Furosemide
Intravenous Fluids
Digoxin & Dopamine
Norepinephrine and Intraaoic Balloon Pump