What interventions should the nurse anticipate being administered to a child with supraventricular tachycardia (SVT)?
a. Bed rest
b. Applying ice to the face
c. Administration of atropine
d. Administration of adenosine (Adenocor)
e. Having the child perform a Valsalva maneuver
ANS: B, D, E
The treatment of SVT depends on the degree of compromise imposed by the dysrhythmia. In some instances, vagal maneuvers, such as applying ice to the face, massaging the carotid artery (on one side of the neck only), or having an older child perform a Valsalva maneuver (e.g., exhaling against a closed glottis, blowing on the thumb as if it were a trumpet for 30 to 60 seconds), can reverse the SVT. When vagal maneuvers fail, adenosine may be used to end the episode of SVT by impairing AV node conduction. IV adenosine is the first-line pharmacologic measure for termination of SVT in infants and children in the emergency setting. Administration of atropine or bed rest will not resolve SVT.
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