A patient with supraventricular tachycardia remains symptomatic after vagal manoeuvres. The provider prescribes rapid intravenous adenosine. Which nursing action is appropriate?
Correct answer: B. Give it as a rapid intravenous bolus followed by a flush
- A. Administer it slowly through a small peripheral vein
- B. Give it as a rapid intravenous bolus followed by a flush
- C. Mix it with dextrose and infuse it over 30 minutes
- D. Ask the patient to take it orally with a full glass of water
Explanation
Adenosine has an extremely short half-life, so it is administered rapidly through an intravenous line followed immediately by a flush. Brief flushing, chest discomfort or a transient pause may occur, and continuous ECG monitoring is required.
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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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