A patient with a narrow-complex tachycardia has a regular pulse of 180 beats per minute, chest discomfort and a blood pressure of 78/46 mmHg. Which treatment should the nurse anticipate as the priority?
Correct answer: A. Synchronized cardioversion
- A. Synchronized cardioversion
- B. Routine oral antihypertensive therapy
- C. Unsupervised carotid massage
- D. Delayed treatment after a meal
Explanation
The patient is unstable because the tachycardia is accompanied by hypotension and chest discomfort. Synchronized cardioversion is used for unstable tachyarrhythmias, while vagal manoeuvres and medicines are not adequate substitutes in this situation.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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