ACLS Megacode 4: Supraventricular TachycardiaHurry, don’t let time run out!Sorry, time is up!0 Hours 0 mins 0 secsStep 1 of 520%A 24 y/o F presents complaining of feeling light-headed and short of breath.Her initial vitals are as follows: T 36.8 / BP 120/60 / HR 180 / RR 20 / Pulseox 100% on room air.You check an EKG which demonstrates the following: 1. What is the best management strategy?* Calcium channel blockers Carotid massage or valsalva maneuvers Beta-blockers IV fluidsYou attempt vagal maneuvers but the patient remains in what appears to be SVT.2. What medication can be administered for therapeutic and/or diagnostic purposes?* Adenosine Atenolol Amiodarone AmitriptylineYou administer 6mg of adenosine and get the following EKG:3. What is your next step in management?* Re-assess vitals Administer calcium channel blockers Transfuse Administer beta blockersThe patient originally felt improved but now complains of feeling light-headed again.Her repeat vitals are as follows: T: 36.8 BP: 70/40 HR: 180s RR: 24 O2: 100%You get a repeat EKG which demonstrates the following: 4. What is your next step in management?* Defibrillate Cardiovert Carotid massage Administer calcium channel blocker5. What Joules should be used for cardioversion?* 360 J 200 J 220 J 150 JΔ
