A 42-year-old wom an su ering from system ic lupus erythem atosus presented to the clinic w ith…

A 42-year-old wom an su ering from system ic lupus erythem atosus presented to the clinic w ith substernal, nonradiating pain that awakened her from sleep. Physical exam ination showed a patient in m oderate distress, com plaining of chest pain that was worsened by thoracic m otion. Vital signs included tem perature 103°F (39.4°C), pulse 90 bpm , blood pressure 150/90 m m Hg, respirations 18/m in. Auscultation revealed a precordial systolic and diastolic friction rub. Which of the follow ing drug classes would be absolutely contraindicated for this patient? A. Nonsteroidal antiin am m atory drugs B. Fibrinolytic drugs C. Glucocorticoids D. Opioids E. Antibiotics

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