Medical Emergencies · single question

A patient with a sedation over-sedation event shows dropping/erratic blood pressure readings. What is the FIRST thing you should do?

  1. Administer oxygen
  2. Check the blood pressure cuff and tubing for proper placement
  3. Administer reversal agent
  4. Call emergency services
Show answer and explanation

Correct answer: B. Check the blood pressure cuff and tubing for proper placement

  • A. Incorrect. While oxygen is important, the first step with ERRATIC readings is to verify the reading is accurate — equipment error must be ruled out before treating an artifact.
  • B. Correct. ERRATIC readings → first CHECK THE EQUIPMENT. Verify the BP cuff is properly sized, correctly placed on the arm, not kinked/leaking, and that the patient is not moving. After confirming the reading is accurate and reflects a true hemodynamic change, appropriate clinical intervention follows.
  • C. Incorrect. Reversal agents should not be administered based on a potentially erroneous monitor reading.
  • D. Incorrect. Calling EMS without first confirming the reading is real risks unnecessary panic and delay.

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