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A 65-year-old woman comes to the ED complaining of palpitations and the sensation of her heart...

A 65-year-old woman comes to the ED complaining of palpitations and the sensation of her heart racing. The cardiac monitor shows supraventricular tachycardia (SVT) at 220 BPM. What is your first priority?

If this is recurrent, determining what intervention terminated the dysrhythmia

Valsalva Maneuver (carotid massage)

12-lead ECG during the SVT

Determining whether or not she is hemodynamically stable
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Answer #1

Supraventricular tachycardia (SVT) is defined as abnormally a fast heart beat and arrhythmic condition in the supraventricular region.

A.if this is recurrent, determine what intervention terminated dysarrytmia: WRONG: During SVT the proper intervention to be given to stabilize the patient.

B.Valsalva maneuver ( carotid massage):CORRECT: Carotid artery massage releases some chemicals which reduces heart rate.

C.12 lead ECG during the SVT: WRONG:it can reveal the electric activity of the the heart

D.Determine whether or not hemodynamically stable: WRONG:This is the assessment to be done before to initiate intervention.

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