Which of the following is the priority nursing intervention for a stable infant who has supraventricular tachycardia?
1. Application of ice to the face
2. Administration of intravenous adenosine (Adenocard)
3. Administration of intravenous amiodarone (Cordarone)
4. Preparation for cardioversion
1
Rationale:
1. Supraventricular tachycardia episodes initially are treated with vagal maneuvers to slow the heart rate when the infant is stable. In infants, the application of ice or iced saline solution to the face can reduce the heart rate. Adenosine or amiodarone may be given when the vagal maneuvers are unsuccessful.
2. Supraventricular tachycardia episodes initially are treated with vagal maneuvers to slow the heart rate when the infant is stable. In infants, the application of ice or iced saline solution to the face can reduce the heart rate. Adenosine may be given when the vagal maneuvers are unsuccessful.
3. Supraventricular tachycardia episodes initially are treated with vagal maneuvers to slow the heart rate when the infant is stable. In infants, the application of ice or iced saline solution to the face can reduce the heart rate. Amiodarone may be given when the vagal maneuvers are unsuccessful
4. Cardioversion is used in an urgent situation.
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