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Which intervention is most appropriate for the tx of a pt in asystole?

A. atropine
B. defibrillation
C. epinephrine
D. transcutaneous pacing

1 Answer

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Final answer:

The most appropriate intervention for asystole is epinephrine. Defibrillation is used for ventricular or cardiac fibrillation. Atropine and transcutaneous pacing are not first-line treatments for asystole.

Step-by-step explanation:

The most appropriate intervention for the treatment of a patient in asystole is C. epinephrine. Asystole refers to a state of no electrical activity from the heart and therefore no blood flow. In this condition, the heart is not in a state of fibrillation but is instead flatlining. Defibrillation, as explained in the provided materials, is used in cases of ventricular or cardiac fibrillation, where the heart is in an abnormal rhythm. Defibrillation works by delivering a large electric shock to the heart to reset the heart's natural pacemaker in hopes of re-establishing a normal heartbeat rhythm. Hence, option B (defibrillation) would not be appropriate for asystole. Similarly, the use of atropine and transcutaneous pacing are not first-line treatments for asystole.

Epinephrine, on the other hand, can be administered in an attempt to stimulate the heart. It acts on the adrenergic receptors in the heart and might help restart the pumping action. Therefore, in a case where there is no electrical activity, epinephrine is the most suitable initial intervention.

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