Florida State Paramedic Practice Exam

What is the main focus of care when treating a patient's unifocal PVCs?

1. Treat the PVCs directly

2. Monitor vital signs

3. Treat the underlying bradycardia

4. Administer anti-arrhythmic drugs

The correct answer is: Treat the underlying bradycardia

When managing a patient with unifocal premature ventricular contractions (PVCs), the primary focus should be on identifying and addressing any underlying causes or factors contributing to the phenomenon. Unifocal PVCs are often benign and might reflect an underlying issue that needs to be treated, such as bradycardia or electrolyte imbalances. By focusing on the underlying bradycardia, healthcare providers can potentially resolve the PVCs rather than merely addressing the PVCs themselves. While monitoring vital signs and administering anti-arrhythmic medications can be part of the overall treatment plan, they do not directly address the root cause that can be affecting the heart's rhythm. Effective management involves treating any underlying conditions that may predispose the patient to arrhythmias, making it crucial to prioritize this aspect of care. By resolving the bradycardia or other underlying issues, the necessity to treat the PVCs directly may diminish, highlighting the importance of a holistic approach in arrhythmia management.