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In treating an adult female patient who is tachycardic with normal vitals, what intervention is appropriate?

  1. Immediate medication administration

  2. Vagal maneuvers and oxygen therapy

  3. Cardioversion

  4. Emergency intubation

The correct answer is: Vagal maneuvers and oxygen therapy

When treating an adult female patient who is experiencing tachycardia but has normal vital signs, the appropriate intervention involves utilizing vagal maneuvers and oxygen therapy. Vagal maneuvers are techniques that can help slow down the heart rate by stimulating the vagus nerve, which can be particularly effective in cases of supraventricular tachycardia (SVT). These maneuvers can include actions like the Valsalva maneuver or carotid sinus massage, which can sometimes revert the heart rhythm back to normal without pharmacological treatment. Oxygen therapy is also an important consideration, as it helps ensure that the patient maintains adequate oxygenation, especially when there is tachycardia. While the patient's vital signs are normal, this implies that there is no immediate hemodynamic compromise, thus making a conservative approach with supportive measures appropriate. Immediate medication administration may be necessary in certain cases of tachycardia, especially if the patient shows signs of distress, hypotension, or other complications. However, given that the patient has normal vital signs, there is no immediate urgency requiring pharmacological intervention. Cardioversion would be considered in cases of unstable tachycardia with compromised hemodynamics, which is not applicable here given the