The Daily PANCE and PANRE Extended Edition: Question 24

A 32-year-old female presents with an acute narrow-complex tachycardia noted on her twelve lead EKG. Her blood pressure is 110/72. Her heart rate is 156. She denies chest pain and dyspnea. What do you order next for this patient?

  1. bretylium 500 mg intravenously
  2. verapamil 5 mg intravenously
  3. adenosine 6 mg intravenously
  4. digoxin 0.5 mg intravenously
  5. lidocaine 100 mg intravenously

Answer: C

Adenosine 6 mg intravenously

The treatment for SVT (regular narrow complex tachycardia in a young healthy patient) could be Valsalva or carotid massage, and then adenosine 6 mg. IV bolus.

Know Your Content Blueprint

The Daily PANCE and PANRE

Get 60 days of PANCE and PANRE Multiple Choice Board Review Questions delivered daily to your inbox. It's 100% FREE and 100% Awesome!

You have Successfully Subscribed!