A nursing intervention for an unstable infant who has supraventricular tachycardia is: (Select all that apply.)
1. Application of ice to the face.
2. Administration of intravenous adenosine (Adenocard).
3. Administration of intravenous amiodarone (Cardarone).
4. Preparation for cardioversion.
2, 3, 4
Rationale:
1. Supraventricular tachycardia episodes are initially treated with vagal maneuvers to slow the heart rate when the infant is stable. In stable infants, the application of ice or iced saline solution to the face could reduce the heart rate.
2. Adenosine or amiodarone may be given when vagal maneuvers are unsuccessful. Cardioversion is used in an urgent situation.
3. Adenosine or amiodarone may be given when vagal maneuvers are unsuccessful. Cardioversion is used in an urgent situation.
4. Adenosine or amiodarone may be given when vagal maneuvers are unsuccessful. Cardioversion is used in an urgent situation.
Implementation
Physiological Integrity
Application
Learning Outcome 26.7 Differentiate between acquired heart diseases that occur during childhood and congenital heart defects.
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