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ACLS Megacode 6 In-Hospital

Hurry, don’t let time run out!

Vital signs

Physiological systems

The observed rhythm highlights a wide, stable, and monomorphic QRS complex

Adenosine 6.0 mg IVP followed by adenosine 12.0 mg IVP are administered with no change in condition.

Synchronized cardioversion is performed with further deterioration. A rhythm check reveals a conversion from ventricular tachycardia to ventricular fibrillation.

A single unsynchronized shock of 120 J is delivered, epinephrine is administered, and CPR is started for five cycles. Following five cycles of CPR, a rhythm check reveals a conversion from ventricular fibrillation to asystole.

CPR is resumed for another five cycles. During the first cycle of CPR, you administer epinephrine IVP.

CPR and epinephrine administration have been continued for nearly 45 min with no change in condition. Regular rhythm checks reveal unchanged asystole. There are no changes in LOC and peripheral and central pulses remain impalpable.

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