A patient is admitted to the critical care unit with bradycardia at a heart rate of 39 beats/min and frequent premature ventricular contractions. Upon assessment, you note that she is lethargic and has complained of dizziness for the past 12 hours
Which of the following are acceptable treatments for symptomatic bradycardia? (Select all that apply.) a. Atropine
b. Epinephrine
c. Lidocaine
d. Transcutaneous pacemaker
A, B, D
Administer atropine, 0.5 mg IV every 3 to 5 minutes to a total dose of 3 mg for symptomatic bradycardia. Transcutaneous pacing is also indicated for symptomatic bradycardia unresponsive to atropine. Epinephrine is considered as well. Lidocaine is contraindicated in bradycardia because it can depress conduction, which would be detrimental with a heart rate of 39 beats/min.
You might also like to view...
An elderly patient comes into the emergency department complaining of an earache. The patient and has an oral temperature of 100.2 degrees Fahrenheit
Otoscopic assessment of the ear reveals a pearly gray tympanic membrane with no evidence of discharge or inflammation. Which action should the triage nurse take next? A) Palpate the client's parotid glands to detect swelling and tenderness. B) Assess the temperomandibular joint for evidence of a malocclusion. C) Test the integrity of the12th cranial nerve by asking the client to protrude his tongue. D) Inspect the client's gums for bleeding and hyperpigmentation.
When determining the health care agency's ability to provide the services offered to its patient population, the nurse is taking part in which type of evaluation?
a. function c. process b. structure d. outcome
The dosage available is 60 mEq per 50 mL. Prepare a dose of 35 mEq. Express your answer to the nearest tenth
What will be an ideal response?
A police officer who uses reaction formation to deal with fears of acting cowardly is most likely to:
a. call others cowards. b. develop paralysis of the leg. c. volunteer for perilous duty. d. have nightmares about running from an assailant.