Which of the following should the nurse do to assist an unstable infant with supraventricular tachycardia? (Select all that apply.)
1. Apply of ice to the face
2. Administer intravenous adenosine
3. Administer intravenous amiodarone
4. Prepare for cardioversion
5. Roll the baby onto the stomach
2. Administer intravenous adenosine
3. Administer intravenous amiodarone
4. Prepare for cardioversion
Rationale:
The baby is unstable and therefore should be given adenosine or amiodarone if vagal maneuvers are not successful in breaking the rhythm. Cardioversion is used in an urgent situation. 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.
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