A cardiac nurse observing the monitor of patients identifies the following findings in the patients. Which of the patient would you attend first?
  1. The monitor of a patient of myocardial infarction is showing ventricular tachycardia
  2. Monitor showing paroxysmal supraventricular tachycardia
  3. Patient of valvular heart disease admitted in congestive heart failure showing atrial fibrillation
  4. Monitor of the patient showing first degree heart block who has suffered a recent myocardial infarction
Explanation
Answer- A - The patient ‘A’ should be attended to first as new onset ventricular tachycardia after myocardial infarction may be a life-threatening cardiac event. PSVT and acute AF are rarely life-threatening events and can be evaluated and sorted according to their hemodynamic status. Patients with first degree heart block are usually stable and do not need immediate attention.
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