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?
- bretylium 500 mg intravenously
- verapamil 5 mg intravenously
- adenosine 6 mg intravenously
- digoxin 0.5 mg intravenously
- 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
Supraventricular tachycardia is covered as part of the PANCE Cardiology Blueprint
Review Topic: Paroxysmal supraventricular tachycardia