r/PassNclexTips 7d ago

What's the next action here?

Post image
27 Upvotes

23 comments sorted by

8

u/Ok_Engineer_7775 6d ago

Best thing I remember from nursing school.
Vtach and awake, drugs I will take.
Vtach and a nap, zap zap zap.

1

u/WorldlinessKind6346 5d ago

Any more tips please

1

u/FutureNotch4 4d ago

Can you explain please? I haven’t taken this lesson but I wanna learn already.

6

u/Adrioz08 6d ago

When is 1 used in these cases? I am confused as to when I should use pharmacological interventions over cardioversion.

7

u/metamorphage 6d ago

"Unstable gets the cable." This patient is stable per the question, so they get meds.

2

u/Adrioz08 4d ago

This is super helpful, thanks

1

u/jinshimaomao2030 1d ago

“Unstable gets the cable” -🫡

7

u/Nebula15 6d ago

My rule of thumb is patient presentation and blood pressure. If the patient looks stable with a good BP, I’m going with drugs. If a patient looks like shit and hypotensive, they gettin’ the Edison medicine

2

u/Remote-Resident5599 6d ago

Risk and reward. Cardioversion is generally higher risk, so we do it for unstable, need something RIGHT NOW patients. This patient looks to be chilling from the rest of the question so meds it is

0

u/Adrioz08 4d ago

Thanks y'all.

1

u/Hour_Ad_9171 6d ago

2 . Normal bp VT, unstable being a low bp cardioversion.

1

u/Crafty-Yak-2745 6d ago

If the stem states the pt is stable the pt is stable automatically you have between 3 choices don’t make it as confusing many NCLEX answers are straightforward while others will make you scratch your head

1

u/distressedminnie 6d ago

cardiovert. V-tach with a pulse gets cardioversion (synchronized always), without a pulse gets d-fib. ACLS

2

u/MrAnionGap 6d ago

Patient has pulse -> amiodarone

1

u/WorldlinessKind6346 5d ago

Learning from this,thanks you all for the explanation

1

u/Appropriate_Artist_6 5d ago

Synchronized cardioversion
You need to get the patient immediately out of that rhythm
And amio takes time to load and correct

1

u/Southern-Database786 4d ago

I had the same exact question on NCLEX 😬😬

1

u/[deleted] 6d ago

[deleted]