A patient is being treated at a hospital in Africa for multidrug-resistant falciparum malaria. The patient is to be given artemether (Artenam) and artensunate
Which additional condition that the patient has would warrant another choice of medication? a. High, transient fever
b. High concentrations of iron in the blood
c. Pulse of 103
d. First-degree heart block
D
First-degree heart block would warrant another choice of medication, because artemether and artensunate can cause a transient first-degree heart block.
A high, transient fever is a typical manifestation in a patient with malaria, therefore it is not ab-normal.
The drugs require a high concentration of iron in the blood, therefore this is a desirable condition.
A pulse of 103 would have no bearing on the choice of medication; a high pulse may b expected with a fever.
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