New York State Emergency Medical Technician (EMT) Practice Exam

What should be done if a patient's blood pressure is low but they exhibit no severe symptoms?

1. Begin immediate transport to the hospital

2. Request to administer epinephrine

3. Monitor them for deterioration

4. Administer IV fluids for stabilization

The correct answer is: Monitor them for deterioration

When dealing with a patient who presents with low blood pressure but does not exhibit severe symptoms, close monitoring is essential. This approach allows EMTs to observe for any changes in the patient's condition, including the potential for deterioration. Monitoring involves checking vital signs regularly and being alert for any new symptoms that may suggest a worsening situation, such as changes in mental status, increased heart rate, or signs of shock. By opting for careful observation, EMTs can gather crucial information about the patient's condition over time while ensuring safety. This decision is particularly important in scenarios where low blood pressure may not immediately threaten life but could indicate an underlying issue requiring attention as it evolves. Other options could be considered in different circumstances. Immediate transport might be necessary if the patient were showing distress or severe symptoms, such as altered mental status, signs of shock, or chest pain. Administering epinephrine is indicated for severe allergic reactions or anaphylaxis, which does not apply if the patient is stable. Administering IV fluids may be appropriate if there is evidence of hypovolemia or dehydration, but in the absence of severe symptoms, monitoring is often the best first step before escalating treatment.