Medical Emergencies · single question

A patient becomes pale, nauseous, and diaphoretic immediately after local anesthesia. The most appropriate INITIAL action is to:

  1. Activate emergency protocol
  2. Administer 100% oxygen via nasal cannula
  3. Place the patient supine with feet elevated
  4. Place the patient upright
Show answer and explanation

Correct answer: C. Place the patient supine with feet elevated

  • A. Activating EMS is premature for simple vasovagal syncope and not the first physical maneuver.
  • B. Oxygen helps but positioning to restore cerebral perfusion comes first.
  • C. Correct. These are classic prodromal signs of vasovagal syncope; place supine with legs elevated (Trendelenburg) to restore cerebral blood flow.
  • D. Sitting the patient upright worsens cerebral hypoperfusion and can precipitate fainting.

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