A 23-year-old woman has a copper IUD inserted and experiences a vasovagal episode during the procedure - she becomes pale, sweaty, and bradycardic (pu...

Question

A 23-year-old woman has a copper IUD inserted and experiences a vasovagal episode during the procedure - she becomes pale, sweaty, and bradycardic (pulse 42 bpm). What is the single most appropriate immediate management?

Accepted Answer

Lie her flat, raise her legs, and monitor until symptoms resolve - the IUD does not need to be removed

Answer

Remove the IUD immediately

Answer

Administer intravenous atropine 600 mcg

Answer

Call an emergency ambulance

Answer

Administer intramuscular adrenaline

uk-drcog MCQ (SBA): Vasovagal During IUD Insertion

A 23-year-old woman has a copper IUD inserted and experiences a vasovagal episode during the procedure - she becomes pale, sweaty, and bradycardic (pulse 42 bpm). What is the single most appropriate immediate management?