Question

a monitored patient in the ICU developed a sudden onset of narrow complex tachycardia at a rate of 220/min. the patients BP is 128/58 mmHg, PETCO2 is 38 mmHg. SPO2 is 98%, there is vascular access in left arm. a 12 lead EKG confirms suproventricular tachycardia, heart rate has not responded to vagal maneuvers what is the next appropriate action

Answer 1

The next appropriate action would be to administer adenosine.

Step-by-step explanation:

In this case, the patient is experiencing narrow complex tachycardia, specifically supraventricular tachycardia, with a heart rate of 220 bpm. Vagal maneuvers, which are typically used to slow down the heart rate, have not been successful in this case. Therefore, the next appropriate action would be to administer a medication called adenosine, which is commonly used to treat supraventricular tachycardia. Adenosine works by blocking the electrical conduction in the heart, which can help restore a normal heart rhythm.