ACLS Megacode 5 In-Hospital

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Step 1 of 10

You are a healthcare provider working in the cardiac care unit of your hospital. A 51-year-old female who underwent percutaneous coronary intervention 4 hrs ago is reporting severe nausea and light-headedness. A rapid initial assessment reveals the following:

Vital signs
  • Pulse rate: 160/min
  • Blood pressure: 127/80
  • Respiratory rate: 22/min
  • Temperature: 37.2 °C
Physiological systems
  • Integumentary: Warm, dry
  • Cardiovascular: Strong peripheral pulses bilaterally
  • Respiratory: CTA bilaterally
  • Neurological: Alert
1. You ensure adequate IV access and perform a 12-lead ECG, which reveals narrow-complex supraventricular tachycardia at 160/min. You determine the arrythmia to be stable given the absence of hypotension, changes in consciousness, shock, or chest pain. What are your initial actions?*