A patient with unstable atrial fibrillation has a rapid ventricular rate, chest pain and a blood pressure of 82/50 mmHg. Which treatment should the nurse anticipate?
Correct answer: A. Synchronized electrical cardioversion
- A. Synchronized electrical cardioversion
- B. Routine oral potassium replacement
- C. Unscheduled exercise testing
- D. Slow infusion of oral digoxin only
Explanation
Hypotension and chest pain indicate haemodynamic instability, so synchronized cardioversion is the priority treatment for unstable atrial fibrillation. Stable patients may receive medication for rate or rhythm control, but delaying cardioversion in this patient risks worsening circulation.
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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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