The nurse is recording pulse of a patient admitted in intensive care unit after having a myocardial infarction. The nurse observes that the patient is pulse less and the monitor showing a sine-wave pattern. What is the appropriate emergency management in this patient?
  1. Defibrillation
  2. Radiofrequency ablation
  3. Temporary pacemaker implantation
  4. Permanent pacemaker implantation
Explanation
Answer- A - The appropriate emergency management in this patient is defibrillation. The sine-wave pattern on monitor suggests that this patient is having acute ventricular tachycardia for which emergency defibrillation is necessary. Cardiopulmonary resuscitation (CPR) is also often necessary.
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