[Answer] A patient with dyspnea and a change in mental status arrives at the emergency department. The healthcare team completes the necessary assessments and begins to care for the patient including initiating cardiac monitoring pulse oximetry supplemental oxygen and vascular access. The team reviews the patient’s ECG rhythm strip as shown in the following figure. Which agent would the team most likely administer?

Answer: The ECG strip is showing bradycardia. Atropine is an anticholinergic drug that increases sinoatrial node firing by counteracting vagus nerve action to increase the heart rate. It is the first-line therapy for symptomatic bradycardia. A 0.5-mg bolus is given intravenously every 3 to 5 minutes up to a maximum dose of 3 mg.
A patient with dyspnea and a change in mental status arrives at the emergency department. The healthcare team completes the necessary assessments and begins to care for the patient including initiating cardia…

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