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A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg,
the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular
access in the left arm, and the patient has not been given any vasoactive drugs. A
12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia
or infarction. The heart rate has not responded to vagal maneuvers. What is your
next action? - ✅✅Administer adenosine 6 mg IV push
In which situation does bradycardia require treatment? - ✅✅Hypotension
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mm Hg. What is the initial dose of atropine? - ✅✅0.5
mg
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT
scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula
at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving this patient? - ✅✅Aspirin
A 62-year-old man suddenly experienced difficulty speaking and left-sided
weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the
brain is ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy? - ✅✅Hold aspirin for at least 24 hours if rtPA is
administered