Police transport a 32-year-old guy to the emergency room following a fight at a nearby bar. He claims that his chest hurts and is upset. Pulse is regular at 130 beats per minute and blood pressure is 170/100 mm Hg. The patient is aggressive and uncooperative throughout the physical assessment. There are no indications of any bodily harm. He reacts to light and has dilated, reactive pupils. Nasal perforation is visible on examination. Myocardial ischemia is shown on the ECG. Inhibition of which of the following processes is most likely responsible for this patient's presentation?

Question

Police transport a 32-year-old guy to the emergency room following a fight at a nearby bar. He claims that his chest hurts and is upset. Pulse is regular at 130 beats per minute and blood pressure is 170/100 mm Hg. The patient is aggressive and uncooperative throughout the physical assessment. There are no indications of any bodily harm. He reacts to light and has dilated, reactive pupils. Nasal perforation is visible on examination. Myocardial ischemia is shown on the ECG.   Inhibition of which of the following processes is most likely responsible for this patient's presentation?

Quizplus · Accepted Answer

Eductional Objective: Cocaine is a stimulant that prevents norepinephrine, dopamine, and serotonin from being reabsorbed presynaptically. Due to heightened sympathetic activity, drunk people experience agitation, tachycardia, hypertension, and light-responsive mydriasis. Cocaine is a strong vasoconstrictor that can atrophy the nasal mucosa and septum in addition to myocardial ischemia.

Police Transport a 32-Year-Old Guy to the Emergency Room Following