Question

Your patient is a 56 y/o woman with a history of type 2 diabetes who reports feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor documents the rhythm shown here (bradycardia). She is receiving oxygen at 4L/min nasal cannula, and an IV had been established. What do you administer next?

-atropine 0.5 mg IV
-dopamine at3 to 10 mcg/kg per minute
-glucose 50% IV push
-morphine sulfate 4 mg IV

Answer 1

In this scenario, the appropriate next step would be to administer glucose 50% IV push.

Step-by-step explanation:

In this scenario, the patient is presenting with symptoms of dizziness, paleness, diaphoresis, and low blood pressure. The cardiac monitor shows bradycardia, which is a slow heart rate. Given the patient's history of type 2 diabetes, these symptoms and findings could be indicative of hypoglycemia, which is low blood sugar.

Therefore, the appropriate next step would be to administer glucose 50% IV push. This will provide the patient with a rapid source of glucose to quickly raise her blood sugar levels and alleviate her symptoms.