Medical Emergencies · single question

A patient under sedation shows an erratic/dropping blood pressure reading on the monitoring machine. What should you do FIRST?

  1. Immediately administer oxygen
  2. Administer epinephrine
  3. Call emergency services (911)
  4. Check the blood pressure cuff and tubing to ensure proper placement
Show answer and explanation

Correct answer: D. Check the blood pressure cuff and tubing to ensure proper placement

  • A. Incorrect. Oxygen administration may be appropriate but should not precede verifying whether the reading is real or artifact.
  • B. Incorrect. Administering epinephrine without confirming the reading is real and without a clear indication is dangerous.
  • C. Incorrect. Calling 911 based on a potentially erroneous reading before verifying it is premature.
  • D. Correct. ERRATIC readings on a monitoring machine should first be attributed to EQUIPMENT/TECHNICAL ERROR until proven otherwise. The FIRST step is to CHECK THE BP CUFF AND TUBE — verify proper cuff size, placement, and tube integrity. If the reading is confirmed after re-checking, then clinical assessment and emergency response follow.

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