The patient presents to the emergency department complaining of lightheadedness and states, “I feel like my heart is racing.” Upon assessment, the nurse notes the patient is diaphoretic and pale. Vital signs are significant for a heart rate of 220 bpm, blood pressure of 70/50 mm Hg, and oxygen saturations of 96%. The 12-lead EKG indicates supraventricular tachycardia. Which medication does the nurse prepare to administer?

Question

The patient presents to the emergency department complaining of lightheadedness and states, &ldquo;I feel like my heart is racing.&rdquo; Upon assessment, the nurse notes the patient is diaphoretic and pale. Vital signs are significant for a heart rate of 220 bpm, blood pressure of 70/50 mm Hg, and oxygen saturations of 96%. The 12-lead EKG indicates supraventricular tachycardia. Which medication does the nurse prepare to administer?

Accepted Answer

Adenosine 6 mg rapid IV push. Per the current Advanced Cardiac Life Support (ACLS) protocol, Adenosine 6 mg rapid IV push is the medication of choice for treatment of supraventricular tachycardia. Nitroglycerin is the treatment of choice for chest pain without hypotension. It is not recommended for SVT and would likely contribute to increased hypotension. Cardizem is not the treatment of choice for SVT. It may be used for rapid heart rates caused by atrial fibrillation. Aspirin is used to prevent blood clots. It would not be an appropriate treatment for this patient at this time.

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