A 32-year-old woman, 6 weeks postpartum, presents to the emergency department after fainting while seated, preceded by palpitations and dizziness. She is breastfeeding exclusively and is being treated for postpartum depression with sertraline 100 mg daily and quetiapine 50 mg at bedtime. A lactation consultant recommended domperidone 10 mg three times daily to increase her milk supply, but she has been taking 30 mg three times daily for the past 5 days. She has no history of heart disease, no family history of sudden death, and no known allergies. On examination, she is alert, the heart rhythm is irregular without murmurs, and there are no focal neurological findings.
| Heart rate | 92/min, irregular |
| Respiratory rate | 16/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 104/64 mm Hg |
Question 1 of 30
Which of the following are the most appropriate initial management steps?
Select 2. (0 / 2 selected)
Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.