A 53-year-old female presents with mydriasis, ptosis, diplopia, dysphagia, dysarthria, and a progressive, symmetric descending flaccid paralysis. She is conscious and has no cardiovascular perturbations. Colleagues at other area hospitals are reporting several similar cases. You recommend to:
A. Start plasmapheresis or intravenous immunoglobulin and admit her to an intensive care unit (ICU) for close respiratory and cardiovascular monitoring Wrong Choice!
B. Administer atropine, pralidoxime, anticonvulsants if seizures occur and admit her to an ICU for close monitoring for respiratory failure and risk of aspiration Wrong Choice!
C. Administer antitoxin, supportive care, and admit her to an ICU for close monitoring for respiratory failure and risk of aspiration Correct Choice
D. Administer edrophonium 2 mg Wrong Choice!
Answer:C
A 53-year-old female presents with mydriasis, ptosis, diplopia, dysphagia, dysarthria, and a progressive, symmetric descending flaccid paralysis. She is conscious and has no cardiovascular perturbations. Colleagues at other area hospitals are reporting several similar cases. You recommend to:
A. Start plasmapheresis or intravenous immunoglobulin and admit her to an intensive care unit (ICU) for close respiratory and cardiovascular monitoring Wrong Choice! B. Administer atropine, pralidoxime, anticonvulsants if seizures occur and admit her to an ICU for close monitoring for respiratory failure and risk of aspiration Wrong Choice! C. Administer antitoxin, supportive care, and admit her to an ICU for close monitoring for respiratory failure and risk of aspiration Correct Choice D. Administer edrophonium 2 mg Wrong Choice!