A patient with severe bradycardia has a heart rate of 28 beats per minute, a blood pressure of 68/40 mmHg and reduced consciousness. Which intervention should the nurse prepare for urgently?
Correct answer: B. Transcutaneous pacing equipment and emergency support
- A. Oral fluids and continued observation
- B. Transcutaneous pacing equipment and emergency support
- C. A routine 12-hour cardiac rhythm review
- D. A warm drink to improve peripheral circulation
Explanation
Severe bradycardia with hypotension and altered consciousness indicates unstable circulation. Transcutaneous pacing provides immediate electrical support while emergency treatment and a more secure pacing method are arranged.
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About Critical Care and Emergency Nursing
Covers rapid assessment and stabilisation of patients with airway obstruction, respiratory failure, shock, cardiac arrest, sepsis, poisoning and major electrolyte disturbances. It includes triage, the ABCDE approach, cardiopulmonary resuscitation, ventilator and monitor care, emergency medicines and distinguishing life-threatening deterioration from stable illness.
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