ACLS Megacode 10 In-Hospital

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Step 1 of 10

You are a healthcare provider working in the emergency department. An 83-year-old female in chronic kidney failure arrives by ambulance with complaints of myalgia, nausea, and progressive fatigue over the last 48-hrs. Their last dialysis appointment was three days ago. A rapid initial assessment reveals the following:

Vital signs
  • Pulse rate: 41/min
  • Blood pressure: Unobtainable
  • Respiratory rate: Unobtainable
  • Temperature: Unobtainable
Physiological systems
  • Integumentary: Cool
  • Cardiovascular: Weak radial pulses bilaterally
  • Respiratory: Lungs CTA bilaterally
  • Neurological: Weak, responsive
1. A cardiac monitor is attached to the patient. A rhythm check reveals sinus bradycardia at 41/min. The patient is considered symptomatic. What are your initial actions?*