Which treatment options should the nurse anticipate for a 10-month-old infant admitted to the emergency department with supraventricular tachycardia? Select all that apply
1. Administering intravenous adenosine (Adenocard)
2. Administering intravenous amiodarone (Cardarone)
3. Preparing for cardioversion
4. Applying ice to the face
5. Having the child perform a Valsalva maneuver
1, 2, 3, 4
Explanation:
1. Adenosine or amiodarone may be given when vagal maneuvers are unsuccessful. Cardioversion is used in an urgent situation.
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. Supraventricular tachycardia episodes are initially treated with vagal maneuvers to slow the heart rate including the application of ice or iced saline solution to the face to reduce the heart rate.
5. A 10-month-old child cannot be instructed to hold her breath and bear down as with a bowel movement.
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