Paramedic National Registry Practice

What is the best course of action for a patient with a rapid heart rate and increased blood pressure after a Heimlich maneuver?

1. Administer oxygen therapy

2. Monitor vital signs closely

3. Provide fluids

4. Nothing

The correct answer is: Nothing

In the context of a patient experiencing a rapid heart rate and increased blood pressure following a Heimlich maneuver, it is important to understand the physiological responses that might occur after such an intervention. The Heimlich maneuver is usually employed to relieve airway obstruction and can lead to a temporary stress response. This stress response can result in elevated heart rate and blood pressure as the body reacts to the emergency situation. Choosing to do nothing can often be appropriate in cases where the patient’s vital signs are elevated due to acute stress or anxiety from the obstruction that has just been resolved. Monitoring the patient for any subsequent changes is crucial; however, if the patient is stable and there are no further concerning symptoms, aggressive interventions may not be necessary. In contrast, administering oxygen therapy could be considered if there are signs of respiratory distress or hypoxia, which is not indicated in this scenario since the patient has just had an airway obstruction resolved. Closely monitoring vital signs is prudent, but if the vital signs are only mildly elevated and the patient appears stable, taking no immediate action may be justified, especially if they are showing signs of improvement. Providing fluids would not be appropriate unless there are signs of dehydration or shock, which typically would not be the case immediately after a Heimlich maneuver.