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drplummer drplummer
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6 years ago
A patient comes to the clinic with a history of syncope and weakness for 2 to 3 days. The primary care NP notes thready, rapid pulses and 3-second capillary refill. An ECG reveals a heart rate of 198 beats per minute with a regular rhythm.
 
  The NP should: a. administer intravenous fluids and obtain serum electrolytes.
  b. administer amiodarone in the clinic and observe closely for response.
  c. order digoxin and verapamil and ask the patient to return for a follow-up examination in 1 week.
  d. send the patient to an emergency department for evaluation and treatment.
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liuyihanliuyihan
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6 years ago
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