Question 86 · LEK · Hemorrhagic
A 44-year-old male complains of severe abdominal pain and hematemesis. On examination: respiratory rate - 24/min, normal respiratory sounds over the lungs, SpO₂ - weak signal, heart rate - 130/min, no pulse on the distal arteries, blood pressure - 75/50 mmHg, the skin is pale and sweaty, on the ECG - a regular rhythm with narrow QRS complexes. Which of the following should be performed?
- A. cardioversion.
- B. vagal maneuvers.
- C. adenosine 6 mg i.v. in rapid bolus.
- D. fluid therapy.
- E. amiodarone 300 mg i.v within 20-60 minutes.
Hint
A narrow regular QRS at 130/min with hematemesis and hypotension: ask whether the tachycardia is the cause or the compensation.
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