Which of the following would the nurse do first for a 5-year-old girl with profound bradycardia?
A) Provide oxygen at 100%
B) Administer epinephrine as ordered
C) Use warming blankets
D) Perform gastric lavage
A
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The most common cause of profound bradycardia is respiratory compromise, hypoxia, and shock; thus, oxygenation and ventilation are the priorities. If the bradycardia persists, the next step would be to administer epinephrine or atropine as ordered. Hypothermia or toxic ingestion can cause bradycardia. Treating the underlying problem will relieve the bradycardia.
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