Question

A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO₂ is 38 mm Hg, and the pulse oximetry reading is 98?

1) Adenosine 6 mg IV push
2) Adenosine 12 mg IV push
3) Amiodarone 150 mg IV push
4) Amiodarone 150 mg IV infusion
5) none of the above

Answer 1

The appropriate management for a monitored patient in the ICU experiencing sudden onset of narrow-complex tachycardia would be to administer Adenosine 6 mg IV push.

Step-by-step explanation:

The sudden onset of narrow-complex tachycardia at a rate of 220/min in a monitored patient in the ICU can be a cause for concern. However, the appropriate management in this scenario would be to administer Adenosine 6 mg IV push. Adenosine is a medication commonly used for the treatment of supraventricular tachycardia, which includes narrow-complex tachycardia. It works by temporarily interrupting the abnormal electrical conduction in the heart, allowing the normal rhythm to resume.