Scenario: A 70-year-old female presents with fatigue.

Initial Assessment:

• Responsiveness: Alert and oriented.
• Breathing: Adequate.
• Pulse: 50 bpm, regular.
• Blood Pressure: 110/70 mmHg.

Questions:

1. Is this patient considered to have symptomatic bradycardia?

   • a) Yes
   • b) No

2. What is the appropriate initial management for this patient?

   • a) Observation
   • b) Atropine
   • c) Transcutaneous pacing
   • d) Epinephrine infusion

3. If this patient’s heart rate decreased to 35 bpm and she became hypotensive, what would be the next appropriate intervention?

   • a) Continue observation
   • b) Atropine
   • c) Administer adenosine
   • d) Administer amiodarone