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Medicine C.V.S 028b39e2

All the following agents may be used in the treatment of Aoic dissection , except

A
Propranolol
B
Diazoxide
C
Na nitroprusside
D
Labetalol
High-Yield Explanation
Ref Harrison 19 th ed pg 1641 For acute dissection, unless contraindicated, b-adrenergic blockers should be administered par- enterally, using intravenous propranolol, metoprolol, or the sho- acting esmolol to achieve a hea rate of approximately 60 beats/ min. This should be accompanied by sodium nitroprusside infusion to lower systolic blood pressure to <=120 mmHg. Labetalol a drug with both b- and a-adrenergic blocking propeies, also may be used as a parenteral agent in acute therapy for dissection.

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