What is the appropriate response when encountering PVCs on an EKG of an 87-year-old patient?

When addressing premature ventricular contractions (PVCs) in an 87-year-old patient, starting oxygen and placing an IV is appropriate because it aligns with the immediate assessment and stabilization of the patient. In the context of potential cardiac issues, ensuring adequate oxygenation is crucial, especially in elderly populations who may already have compromised cardiac function or other underlying conditions.

Providing supplemental oxygen can help address any potential hypoxia, which may exacerbate the patient's symptoms or lead to further complications. Additionally, establishing an intravenous (IV) line is important for medication administration if needed later and allows for quick access to deliver fluids or other interventions if the patient's condition worsens.

In contrast, the other options involve more intensive interventions. Calling 911 would be warranted in cases of severe instability or acute life-threatening situations, which may not be the case solely with PVCs. Treatments such as lidocaine or amiodarone are typically reserved for more serious ventricular arrhythmias or when there is evidence of hemodynamic compromise or ongoing symptoms, which are not necessarily indicated with isolated PVCs unless there are additional concerning factors. Understanding the overall clinical picture and the patient's baseline health status is crucial when deciding on a management approach.