The nurse records the ECG of a patient presenting with complaints of sudden onset palpitation with ventricular rate of about 200/ minute. ECG shows paroxysmal supraventricular tachycardia. Which of the following drugs the nurse should prepare if this patient is not responding to vagal maneuvers?
Explanation
Answer- B - The nurse should prepare adenosine if the patient is not responding to vagal maneuvers. Adenosine is the first choice in acute paroxysmal supraventricular tachycardia, if unresponsive to vagal maneuvers. If no response, try metoprolol, digoxin, verapamil; DC shock if signs of cardiogenic shock, angina, or CHF.
