ECG Question #18
The nurse is caring for a client following exploratory laparotomy. Blood pressure is discernable at 32 mm Hg systolic. Although activity is seen on the electrocardiogram (ECG), the nurse is unable to obtain a pulse. Which priority action(s) should the nurse initiate? (Select all that apply.)
- Begin cardiopulmonary resuscitation (CPR)
- Provide defibrillation
- Administer epinephrine
- Provide synchronized cardioversion
This client is experiencing pulseless electrical activity (PEA). The most common causes of PEA are hypovolemia and hypoxia. The nurse must perform a pulse assessment in order to identify PEA. Similar to asystole, PEA is treated by CPR, defibrillation, and epinephrine however cardioversion is contraindicated.