liiAmra
Forum Newbie
Topics: 4
Posts: 14
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A 6 month old boy previously healthy comes to your office and his mom complains he has a decreased oral intake for 2 days. The baby is irritable and his rectal tem is 37.4 (99.4), pulse is 215 and respirations are 55/min. Radial and posterior tibial pulses are low with good brachial and femoral pulses. EKG shows tachy. QRS is narrow with no p waves. What is the most appropriate next step in management?
A. IV Verapamil
B. Ice bag on face for 10 seconds
C. IV adenosine
D. Cardiac pacing
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| sanz
Forum Elite
Topics: 14
Posts: 154
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B. ice bag on face for 10 secs
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| lucky
Forum Guru
Topics: 23
Posts: 505
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ice bag for 10 sec. this q is from kaplan isn;t it?
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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this is SVT
1st step to control ac episode is ice bag on face fr 10 s (diving reflex) or vagal stimulation like valsalva/ carotid sinus massage
if not controlled then adenosine is the DOC
if venous access is not available, then go fr electric cardioversion
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