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%. there is vascular access in the left arm, and the patient has not been given any vasoactive drugs. a 12-lead ecg confirms a supraventricular tachycardia with no evidence of ischemia or infarction. the heart rate has not responded to vagal maneuvers. what is your next action?

Answers

Answer 1
The next recommended intervention is the adenosine 6mg IV push. Adenosine is the main drug used in the action of steady narrow complex SVT or as called as supraventricular Tachycardia. It can now also be used for even monomorphic wide complex tachycardia. When given as a rapid IV bolus, adenosine slows cardiac transmission affecting conduction through the AV node. The quick bolus of adenosine also disturbs return SVT initiating the pathways over the AV node and restores sinus rhythm in patients with SVT.The initial dose of adenosine should be 6 mg accomplished fast over 1-3 seconds surveyed by a 20 ml NS bolus. If the patient’s beat does not change out of SVT within 1 to 2 minutes, a second 12 mg dose may be given in similar fashion. Determinations must be finished to manage adenosine as rapidly as likely. A lesser primary dose of 3mg should be used for patients captivating dipyridamole or carbamazepine as these two prescriptions potentiate the effects of adenosine. Also, lengthy asystole has stood become with the use of normal doses of adenosine in heart transfer patients and central line use. Consequently, the lower dose 3mg may be measured for patients with a central venous line or a history of heart transfer.
Answer 2
Final answer:

Tachycardia is defined as a heart rate above 100 beats per minute and can be caused by various factors. In this scenario, the appropriate next action would be to administer medication to control the tachycardia. The specific medication will depend on the underlying cause.

Explanation:

Tachycardia is defined as a heart rate above 100 beats per minute, and it is not normal in a resting patient. There are many potential causes of tachycardia, including stress, pregnancy, autonomic nervous system disorders, and stimulation from the limbic system. In some cases, tachycardia may involve only the atria. Symptoms can include dizziness, shortness of breath, rapid pulse, chest pain, and fainting.

In the scenario provided, the patient in the ICU has developed narrow-complex tachycardia with a heart rate of 220 beats per minute. The patient's blood pressure, PETCO2 levels, and pulse oximetry reading are within normal ranges, and there is no evidence of ischemia or infarction on the 12-lead ECG. Vagal maneuvers have been unsuccessful in regulating the heart rate.

Based on this information, the next action would be to administer a medication to try and control the tachycardia. The specific medication will depend on the underlying cause of the tachycardia. If the tachycardia is determined to be supraventricular in origin, options may include adenosine, beta-blockers, calcium channel blockers, or antiarrhythmic drugs. It is important to consult with a healthcare professional in order to determine the best course of action for this particular patient.


Related Questions

If gonorehea is A treatable infection why do so many men experience severe damage and even infertility or joint infections as a result of leaving it untreated

Answers

The reason is because it is a bacterial infection. Bacterial infection are overall generally nastier then viral infections. Bacterial infection are special because immunity usually happens after a much long time, or with antibiotics. Bacterial diseases like Syphilis and Tuberculosis can't be cured, but can only be managed. Bacterial infection s are also quite dangerous because they can munch on several tissues of different systems. Viruses can only infect a specific tissue or tissues. Additionally the toxins emitted by a bacteria can attack have an effect on an even wider range of tissues. A lot of untreated infection can actually end up with you in Sepsis.

Gonorrhea symptoms can be subtle or mistaken for other conditions, which frequently leads to the infection going untreated and damaging the reproductive organs irreparably. So, the correct option is A.

What is Gonorrhea?

Gonorrhea is the bacterial sexually transmitted illness, can lead to infertility. Instances where an infection is present despite the absence of symptoms can be found with regular screening.

Painful urination and unusual discharge from the genitals or vagina are two signs of gonorrhoea. Women may feel discomfort in the lower abdomen, while men may suffer pain in the testicles. Gonorrhea can occasionally go unnoticed. Antibiotics can be used to treat gonorrhea.

Gonorrhea symptoms might be vague or confused with those of other illnesses, which frequently causes the infection to go untreated and severely harm the reproductive organs.

Thus, option A is the best choice.

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Your question is incomplete, most probably the complete question is :

If gonorrhea is a treatable bacterial infection, why do so many women experience serious damage and even infertility because the gonorrhea was left untreated?

Symptoms can be mild or mistaken for other issues, often leaving the untreated infection to spread to the reproductive organs to do damage that cannot be repairedSymptoms can be so mild that the doctors believe the antibiotics cleared the infection when it really has spread to other organs where it does permanent damageAntibiotics only work if they are administered within the first week of the infection, and symptoms do not appear until at least two weeks after contraction

1- Once a person’s red blood cells are all destroyed by HIV, a person develops AIDS.
T or F?

2-Which of the following ways can HIV NOT be transmitted?

from a mother to her baby

sexual intercourse

sharing needles

airborne transmission

3-
What part of a person’s body does HIV destroy?

liver

all of the vital organs

white blood cells

red blood cells

Answers

1) F, 2) airborne transmission, 3) white blood cells
 hope this helps!

_______ relates to how children think about themselves and others, resulting in mental representations of themselves, relationships, and their social world.?

Answers

The correct answer is social cognition.
It means that these children are aware of their surroundings, which consist of various people in their life, such as family, and later on friends. It also refers to their mental representation of themselves, and how they perceive themselves in the world.

Giving an excuse to someone offering drugs is the only way to refuse them. true or false

Answers

False it is not the only way, however it is one of the easier ways. 

It is false, there you go, you have the answer.

A nurse is educating a patient undergoing treatment for genitourinary tract bacterial infections on an outpatient basis. what instructions should the nurse offer the patient as part of the patient teaching plan?

Answers

stress completion of the antibiotic that is prescribed. for the amount of time prescribed.

Which of the following is the BEST way to ensure you are receiving the best possible nutrition?
A.eating whole grains every morning and evening
B.reducing the amount of salt and sugar in foods
C.eating a wide variety of foods
D.using olive oil instead of butter for cooking

Answers

hi !


B (we do add too much sugar and salt in what  is already sugared or salted..)
C we have to eat a large variety of different healthy (of course !) food
D  (never use butter for cooking....it might burn)
are the correct answers

they are the causes of cardiovascular diseases (salt, sugar, butter.....)

bye


Answer: C.  eating a wide variety of foods

Explanation:

All alcoholic beverages are drugs, a depressant that attacks the central nervous system and will take up to 24 hours to remove from the body, from the time drinking has stopped.

Answers

The statement above is TRUE. All alcoholic beverages have depressing effects on the nervous system, they remove tension and inhibition and impair one's judgement, motor activity and concentration. Drinking of alcohol creates additional work for the liver which metabolize the alcohol and get it out of the system within a period of 24 hours after drinking stopped. 

A 38-year-old male is complaining of generalized weakness and fatigue. assessment findings include abdominal pain, fever, and yellowing of the eyes. given these signs and symptoms, you would be suspicious of

Answers

the answer is tuberculosis 

Suppose your new year resolution is to get back in shape. you are considering various ways of doing? this: you can sign up for a gym? membership, walk to? work, take the stairs instead of the? elevator, or watch your diet. how would you evaluate these options and choose an optimal? one?

a. it makes the most sense to do the action that costs the least amount of money.

b. do a? cost-benefit analysis to compare the alternatives.

c. you should do the activity that gives you the greatest personal? benefit, regardless of the cost.

d. you should choose an activity randomly to avoid regretting your decision later.

Answers

Your answer is B. Do a cost-benefit analysis to compare the alternatives. You have to chose how much you're willing/want to spend, what activities you're willing to spend on/do, and if the benefits of an activity fit or outweigh the costs. Also, not just monetary expenses but costs on your time, relationships, and other aspects of your life should be taken into account as well. Good Luck!

Final answer:

To choose the best way to get back in shape, (option b) a cost-benefit analysis should be performed, evaluating factors like personal enjoyment, the immediate cost of exercise, and long-term benefits. Personal, environmental, and behavioral factors should influence the workout plan, and following through with the chosen activity is paramount for success.

Explanation:

To evaluate various ways to get back in shape, such as signing up for a gym membership, walking to work, taking the stairs, or watching your diet, it's beneficial to perform a cost-benefit analysis. This involves weighing marginal costs, like money and effort, against marginal benefits, such as better health and improved fitness.

You should consider factors like the immediate costs of exercise, the long-term benefits, your personal preferences, and how the activity fits into your regular schedule. Finding an activity that is enjoyable and one that can be integrated easily into daily life ensures long-term consistency and success. For instance, if you prefer group activities, joining a local sports team or attending group exercise classes could be motivating and enjoyable. If solitary workouts are more your style, consider jogging or swimming.

It's crucial to remember that what works for one person might not suit another. Variability in personal liking and lifestyle allows for a range of activities to choose from. Therefore, when planning your workout program, consider the personal, environmental, and behavioral factors that uniquely influence your fitness journey. Finally, once you've made a choice, it is important to follow through with your plan to achieve the desired results.

You walk into a room and find an unconscious child on the floor. there is an empty medicine bottle next to her. what should you do first?

Answers

Call 911.
Hope this helped!
Ask parents for consent to help the child. call 911. assess the child's ABCs (Airway, Breathing, Circulation) if the child has something obstructing their airway, try and remove it. If you cannot, begin CPR (you can start with CPR rather than abdominal thrusts and back blows because the child is unconscious) if the child is not breathing or you cannot find a pulse, start CPR

Research indicates that infants reach the stages of piaget's sensorimotor intelligence _____ piaget originally predicted.

Answers

Final answer:

Infants reach cognitive development milestones like the sensorimotor stage earlier than Piaget predicted, demonstrating object permanence and knowledge of objects at a younger age.

Explanation:

Research indicates that infants reach the stages of Piaget's sensorimotor intelligence earlier than Piaget originally predicted. The sensorimotor stage is the first stage in Piaget's theory of cognitive development, spanning from birth through age 2, where infants learn about their world through their senses and motor behaviors. Contrary to Piaget's beliefs, studies have shown that infants demonstrate a knowledge of the properties of objects and an understanding of object permanence sooner than he suggested.

For example, research by Baillargeon and others have indicated that infants as young as three months old can understand that objects continue to exist even when out of sight, which is a concept known as object permanence. This contradicts Piaget's assertion that young infants cannot remember an object once it has been removed from sight. Contemporary research supports a model of cognitive development that is more continuous and suggests that children reach cognitive milestones earlier than described in Piaget's discrete stages.

A client has developed hospital-acquired pneumonia. when preparing to administer cephalexin 500 mg, the nurse notices that the pharmacy sent cefazolin. what should the nurse do

Answers

Request that the cephalexin be sent promptly.
Verify the medication order as written by the physician.
Contact the pharmacy and speak to a pharmacist.
Return the cephazolin to the pharmacy.
Final answer:

The nurse should contact the pharmacy to inform them of the error and not administer the wrong medication to the client with hospital-acquired pneumonia.

Explanation:

If the nurse notices that the pharmacy sent cefazolin instead of cephalexin to administer to a client with hospital-acquired pneumonia, the nurse should contact the pharmacy immediately to inform them of the error.

The nurse should not administer the wrong medication to the client as it could have adverse effects and lead to complications. It is important to ensure that the client receives the correct medication to effectively treat their condition.

Contacting the pharmacy will allow them to correct the error and provide the correct medication for the client's treatment.

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The onset of fatigue frequently coincides with the onset of

Answers

The onset of fatigue coincides with mid-day most often. Your body discharges your brain's natural sleep chemical, melatonin, telling your body it's time to go to hit the hay between 2 and 4 in the afternoon. Michael J. Breus, PhD, a sleep expert, explains that the tiredness or fatigue you feel in the middle of the day is just like the tiredness you feel before bedtime at night. Mainly, because we wake up super early for work or for school, our body wants to go to bed in the afternoon because our usual clock is telling us to do so.

The onset of fatigue typically coincides with the onset of darkness due to the influence of circadian rhythms and the release of melatonin. Light plays a crucial role in regulating these biological clocks. Option c is correct.

This is because our biological clocks, or circadian rhythms, are heavily influenced by light cues from our environment. As daylight diminishes, our bodies begin to release melatonin, a hormone that promotes sleep, leading to a feeling of drowsiness and fatigue. This phenomenon is particularly evident in regions with shorter daylight periods during winter, where people often experience disruptions to their circadian rhythms. Bright light therapy is one method used to manage these effects by simulating daylight and helping to maintain a regular sleep-wake cycle.

Complete question as follows:

The onset of fatigue frequently coincides with the onset of

Oa) daylight

Ob) mid-day

Oc) darkness

The nurse is caring for a client taking an oral hypoglycemic agent (sulfonylurea) has just been diagnosed with a urinary tract infection. the health care provider plans to treat the infection with sulfamethoxazole. the nurse expects that because of medication interactions, the health care provider will prescribe a prescription in which manner?

Answers

The answer to this question is that the health care provider will prescribe the prescription in giving a higher dose of oral hypoglycemic agent.

The oral hypoglycemic agents or anti-diabetic drugs are drugs / medicines that are prescribed to patients with diabetes to lower the glucose or sugar level in the blood. Oral hypoglycemic drugs are used also to lessen the risks of complications from diabetes.   

Josefina is obsessed with her weight. she sometimes eats a whole package of oreos at once and then makes herself vomit. she most likely suffers from _____.

Answers

Josefina is likely experiencing Bulimia nervosa, in which a person has a disorder in a emotional state in terms of his or her body image. It would likely lead the person to try methods of losing weight and in the same time, the person would experience depression. It involves the person doing things to lose weight such as by vomiting or fasting in which we could see Josefina doing above as she was obsess about her weight.

During the discharge conference with a client who has had a hysterectomy the nurse includes instructions for avoiding the thromboembolic phenomena that may occur as a complication. what should these instructions include?

Answers

The answer to the question above is "Avoid sitting for long periods of time." When we say hysterectomy, this is the surgical procedure done by removing all parts of the uterus. In this case, thromboembolism might be a complication when the patient sits for a long period of time because a blood clot may be formed which would result in the obstruction of a blood vessel and this may affect one's circulation. Near the uterus, there are some blood vessels called the  uterine venous plexus. 

A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. When law enforcement arrived, the patient became violent, necessitating the placement of handcuffs. When you assess the patient, he tells you that killing someone will make his abdominal pain go away. His vital signs are stable. How should you manage this situation?

Answers

request a police officer to accompany you in the ambulance

A patient with a history of schizophrenia called EMS because he was experiencing abdominal pain. One should manage the situation by requesting a police officer to accompany the ambulance.

What is schizophrenia?

Schizophrenia is a severe mental illness in which reality is perceived by sufferers strangely.

Schizophrenia may include hallucinations, delusions, and severely irrational thinking and behavior, which can make it difficult to go about daily activities and be incapacitating. Schizophrenia patients need lifetime care.

Therefore, EMS received a call from a patient with a history of schizophrenia who was complaining of stomach pain. To control the situation, one should ask a police officer to ride in the ambulance.

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list the three functions blood serves in the body?

Answers

1. Transport oxygen away from the lungs and around the body.
2. Transport nutrients around body.
3. Keep body at a normal temperature.

Blood is vital for the human body as it helps in the transportation of hormones and nutrients.

Some of the functions of blood in the human body include:

Regulating the body temperature.Forming blood clots in order to prevent blood loss.Carrying antibodies that help in fighting infection.Transportation of oxygen to the lungs.

In conclusion, blood is important in the human body.

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Bernhard is a football player on your university football team and he is eating high amounts of protein. considering his high protein intake, how should he adjust his water intake and why?

Answers

Bernhard should increase his daily water intake. This is because the digestion of proteins results in wastes being kept in the biological system. These wastes must be eliminated. The kidney is the organ responsible for secreting enzymes that help eliminates these wastes. In order for the kidneys to effectively secrete these enzymes and filter the wastes, they should be very well hydrated which means that the daily intake of water should increase.

Bernhard should increase his water intake when consuming high amounts of protein. A higher protein diet necessitates more water to help kidneys flush out the byproducts of protein metabolism. Therefore, it's crucial for an athlete like Bernhard to adjust his water intake accordingly to maintain hydration and overall health.

When individuals consume a high-protein diet, their bodies undergo increased metabolic activity to break down amino acids. The kidneys play a vital role in this process, working to excrete nitrogen-containing byproducts like urea. The need for water increases as the kidneys filter these substances, to prevent issues such as dehydration or kidney stones. For athletes like Bernhard, who regularly engage in strenuous activities, their hydration needs are even more pronounced. This emphasizes the importance of a proper hydration strategy that accounts for both their physical demands and dietary intake. By adjusting his water intake in response to his high protein consumption, Bernhard can ensure optimal performance, recovery, and overall health.

Body composition is BEST described as __________.
A.
the amount of lean muscle in a body
B.
the total amount of muscle in a body
C.
the total mass of fat in the abdomen
D.
the ratio of fat to other tissue in a body

Answers

The correct answer is D!

Hope this helps!
-Madi

The correct answer is D.

__________ is the drug administration method with the highest risk of damage to the respiratory system.
A. Absorption
B. Injection
C. Inhalation
D. Ingestion

Answers

__________ is the drug administration method with the highest risk of damage to the respiratory system

Ans: C) Inhalation

Answer: C. Inhalation

Explanation:

Drugs administered in the body through inhalation through nostrils can be taken in the form of small droplets. These are taken to the nasal route so that the drug can enter into the windpipe and then finally into the lungs. This way the drug directly enters into the respiratory system and then finally absorbed to the blood stream.

The drug administration through this way irritates the respiratory tract and causes diseases related to the respiratory system. For example, drugs like opioids, may cause labored breathing and makes the symptoms of the asthma worse.

Asthma can be treated with antibiotics. True False

Answers

False because antibiotics are used to treat infection and asthma is not classified as an infection

Answer:False, asthma isn't a virus that antibodies can signal the cells to attack.

A 77-year-old woman slipped and fell on a throw rug and landed on her left hip. she denies striking her head or losing consciousness. assessment of her left leg reveals that it is shortened and externally rotated. distal pulses, sensory, and motor functions are intact. you should:

Answers

The best response to this situation for the betterment of the patient and for her to be safely transferred to the vehicle before she arrives the hospital, it is best that she is carefully placed on a scoop stretcher which could help in transferring her easily in the vehicle. After this, it is best to pad her with the use of pillows directed at the patient's left hip for comfort and to prevent the injury from being painful. Then, the straps in the stretcher must be used in order to secure the patient and prevent her from falling.

Final answer:

A 77-year-old woman with a shortened and externally rotated left leg likely has a hip fracture. Immediate actions include stabilizing the patient, calling emergency services, and monitoring until professional medical help arrives. Further assessment and treatment including surgery will take place at a hospital.

Explanation:

Initial Assessment and Intervention for a Hip Fracture

A 77-year-old woman who has fallen and has a left leg that appears shortened and externally rotated is likely to have sustained a hip fracture. This assumption is backed by common clinical signs associated with such an injury. In the case of a hip fracture, distal pulses, sensory, and motor functions can still be intact despite the displacement of the hip joint.

The first action to take is to stabilize the patient and prevent any further movement that could exacerbate the injury. The patient should be kept warm and comfortable, and emergency medical services should be called immediately. While waiting for the emergency services, continuous monitoring for any changes in the patient's condition is essential. The patient should not be fed or given anything to drink in case surgery is required soon after arriving at the hospital.

Once in the clinical setting, a thorough assessment including imaging, typically an X-ray, will confirm the diagnosis, and a treatment plan can begin, often involving surgical intervention.

When combined with alcohol or other depressant drugs, the depressant effect of antihistamines can be much greater?

Answers

The statement that when combined with alcohol or other depressant drugs, the depressant effect of antihistamines can be much greater is true. If you consume alcohol while taking drugs or antidepressant medicates, their effect will be greater. The effect of the alcohol on the drugs depends on their structure and purpose. Because both alcohol and depressant drugs have sedative effect of the body, the depressant effect will be much greater.

Since breast-feeding is best, why do most north american mothers bottle-feed their 6-month-olds?

Answers

It's the same way with the British and Australia (english speaking countries) and who knows what other countries. I know Americans get picked on for being different from the rest of the world but those who say "It only happens in America"never counted on the internet to reveal the truth...that America isn't quite so incredibly different from other countries. Back in the 1990s, people claimed that the worldwide weaning age from breastfeeding was 4 years old and America was so backward. On the internet we learn that Bangladesh (a third world country) has the highest weaning age in the world and it's barely 3 years old. So much for thinking that the worldwide weaning age is 4. You can't believe everything you read.
In order to understand this, you must take into account several factors. The culture and societal aspects of North America, and other westernized countries tends to shun open breastfeeding; mainly because of ideas of nudity. It's not forbidden and you are still allowed to do it, but these norms have stayed anyways. This would not be the same in, say more impoverished areas, where it is more socially and culturally acceptable. Also just because people don't breast feed doesn't mean that they aren't giving their baby breast milk in a bottle.

In regards to my last sentence, sometimes it can get painful when a young one chomps down. This is why some mother's just defer to using a bottle instead. 

A nurse is assigned to care for a client with a tracheostomy tube. how can the nurse communicate with this client

Answers

A nurse is assigned to care for a client with a tracheostomy tube. How can the nurse communicate with this client?
- By supplying a magic slate or similar device

Which term describes forced sexual contact?

Answers

The correct answer is A because for it to be considered r**e there has to be penetration.

Answer:

The letter A is correct.

Explanation:

Forced sexual exists in a continuum of actions, from forced r*p* to other non-physical forms of pressure that compel girls and women to engage in sexual acts against their will. The most tragic of this kind of contact is that women have no options and face very serious physical or social consequences if they resist men's sexual advances.

Some forms of forced sexual contact, such as forced penetration (r*p*), sexual assault (forced sexual contact), and sexual m0l*stati0n are recognized as crimes by many legal systems. Other forms such as bullying, verbal pressure or forced marriage are tolerated and often culturally encouraged.

Explain the difference between physical activity and exercise.

Answers

Physical activity is movement that is carried out by the skeletal muscles that requires energy. In other words, any movement one does is actually physical activity. 

Exercise is planned, structured, repetitive and intentional movement intended to improve or maintain physical fitness

Answer:

Physical activity is movement that is carried out by the skeletal muscles that requires energy. In other words, any movement one does is actually physical activity. 

Exercise is planned, structured, repetitive and intentional movement intended to improve or maintain physical fitness

Explanation:

got it right on quiz

Celeste needs to improve her cardiorespiratory health. Which of the following activities would most benefit her heart, and why? Brisk walking, because it is aerobic with a long duration Bowling, because it is anaerobic with a short duration Rowing, because it is anaerobic with a short duration Weight lifting, because it is aerobic with a long duration

Answers

The correct answer is A

Answer:

Brisk walking.

Explanation:

Exercises that help to improve cardiorespiratory health are aerobic ones, because this type involves oxygen as a principal source of energy, which requires to breath well. Aerobic exercises are long but low intensity because don't require weightlifting or related. Actually aerobic means "with oxygen".

In this case, brisk walking is the right answer because is an aerobic activity which is centered in oxygen, which will help to improve cardiorespiratory system. The counterpart of this exercise is anaerobic which is without oxygen,  these are high intensity and pressure exercise like weightlifting.

a cutting board is scratched and chipped. what should the food handler do

Answers

The food handler should discard the cutting board and get a new one. Cutting board should be made out of hard wood and they should be closely grained. Scratched and chipped points on the cutting board will be difficult to clean and they can harbor microbes which may be a cause of food poisoning. 
Final answer:

A food handler should replace a scratched and chipped cutting board to prevent foodborne illness, with a preference for a plastic cutting board due to ease of sanitation.

Explanation:

If a cutting board is scratched and chipped, it can harbor bacteria in those crevices which are difficult to clean and sanitize properly. This is a health risk, as bacteria from the damaged cutting board can contaminate the food prepared on it. To ensure food safety, the food handler should replace the damaged cutting board with a new one, preferably a plastic cutting board, as they are easier to sanitize and are generally considered safer than wooden cutting boards. It's important for food handlers to routinely inspect their cutting boards and maintain them in good condition or replace them when necessary to prevent foodborne illness.

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