John Cafaro MD
A continuation of the massive hemoptysis case from last week. The patient was intubated and ROSC was obtained. Chest X-Ray showed a large cavitary lesion on the left side. On mechanical ventilation, lung protective strategy was used and despite increasing PEEP the patient's SaO2 ranged from 60-79%.
48M arrives in the passenger seat of wifes car coughing up a large amount of blood. He is very pale appearing, his pulse becomes thready and the patient starts to become unresponsive. Wife tells you he has a history of AML and is being treated with Amphotericin B for an Aspergilloma. The patient arrives to the resuscitation room in cardiac arrest.
Which anti-epileptic is most likely to cause hyponatremia?
C. Valproic Acid
Answer is A - Carbamazepine or Tegretol
Bonus Question: What is the first line management in Trigeminal Neuralgia?
Answer: Carbamazepine or Tegretol