This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: What is the initial intervention in a patient with sinus tachycardia with the following vital signs ... (Read 111 times)

melly21297

  • Hero Member
  • *****
  • Posts: 565
on: Jun 25, 2018
What is the initial intervention in a patient with sinus tachycardia with the following vital signs
 
  HR, 136 beats/min; BP, 102/60 mm Hg; RR, 24 breaths/min; T, 99.2  F; SpO2, 94 on oxygen 2 L/min by nasal cannula?
 
  a. Stat adenosine to decrease heart rate
  b. Identification and correction of the cause of the increased heart rate
  c. Sublingual nitroglycerine 0.4 mg
  d. Lidocaine 75 mg IV push

Question 2

Which of the following may be present in the patient with significant fluid volume overload? (Select all that apply.)
 
  a. S3 or S4 may develop.
  b. Distention of the hand veins will disappear if the hand is elevated.
  c. When testing the quality of skin turgor, the skin will not return to the normal position for several seconds.
  d. Tachycardia with hypotension may be present.
  e. Dependent edema may be present.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kkenney

  • Sr. Member
  • ****
  • Posts: 352
Reply #1 on: Jun 25, 2018
Answer to Question 1

B
Sinus tachycardia can be caused by a wide variety of factors, such as exercise, emotion, pain, fever, hemorrhage, shock, heart failure, and thyrotoxicosis. Illegal stimulant drugs such as cocaine, ecstasy, and amphetamines can raise the resting heart rate significantly. Many medications used in critical care can also cause sinus tachycardia; common culprits are aminophylline, dopamine, hydralazine, atropine, and catecholamines such as epinephrine. This patient has a stable heart rate and SpO2; therefore, there is time to identify the cause of the sinus tachycardia. Lidocaine is indicated for ventricular dysrhythmias. Nitroglycerine is not indicated because the patient is not having chest pain at this time. Adenosine is usually not indicated unless the heart rate is greater than 150 beats/min.

Answer to Question 2

A, E
A gallop and dependent edema are indicative of fluid excess; the other signs are indicative of fluid volume deficit.


melly21297

  • Member
  • Posts: 565
Reply 2 on: Jun 25, 2018
:D TYSM

rachel

  • Member
  • Posts: 323
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp
Building competency in patient centered care Building competency in patient centered care
Preparing a Manual Patient Ledger. Preparing a Manual Patient Ledger.
A physical therapist exercising the patient’s leg in a physical therapy department. A physical therapist exercising the patient’s leg in a physical therapy department.
Physical and Emotional Signs of Stress Physical and Emotional Signs of Stress
Mitigation or adaptation, or intervention Mitigation or adaptation, or intervention
Video: Protein digestion - stomach & small intestine

For a complete list of videos, visit our video library