Immediate Management Steps for Cardiac Tamponade:

  • Administer IV Fluids: To temporarily stabilize the patient if in shock.
  • Immediate Echocardiogram: To confirm the diagnosis and guide the procedure ( If patient is stable)
  • Urgent Pericardiocentesis: To remove the excess fluid and relieve pressure on the heart. (Most appropriate step)

In the context of cardiac tamponade, an echocardiogram is often used to confirm the diagnosis and guide pericardiocentesis. However, if a patient exhibits clear clinical signs of cardiac tamponade (e.g., Beck’s triad: hypotension, muffled heart sounds, and elevated jugular venous pressure) and is hemodynamically unstable, immediate pericardiocentesis should be performed without waiting for an echocardiogram.

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