ACLS Megacode 3: Ventricular Fibrillation Hurry, don’t let time run out! Sorry, time is up! 0 Hours 0 mins 0 secs Step 1 of 6 16% A 54 y/o M presents to the emergency room with chest pain and nausea. He is noted to be diaphoretic and appears uncomfortable. The nurse is taking his initial vitals when he suddenly becomes unresponsive. You see the following on the monitor. 1. What is the next best step?* Defibrillate Check a pulse Start CPR Intubate the patient The patient does not have a pulse and high quality CPR is initiated while you prepare the defibrillator.2. What are the appropriate Joules for monophasic and biphasic defibrillators?* 120 J for mono, 360 J for biphasic 360 J for mono, 200 J for biphasic 360 J for mono, 360 J for biphasic 100 J for mono, 50 J for biphasic You have defibrillated the patient and he remains pulseless.3. What is the next step?* Cease efforts Cardiovert Continue CPR, administer epinephrine Get an EKG After initial defibrillation and round of CPR, the patient remains in vtach. You attempt defibrillation again and continue CPR.4. What medication, other than epinephrine, can be administered next?* Adenosine Amiodarone Atropine Atenolol You have administered your next round of medications and performed another round of CPR. You check the rhythm: 5. What is your next step?* Check a pulse Defibrillate Administer Amiodarone Cardiovert You continue CPR and administer epinephrine. The patient develops the following rhythm: 6. What do you do next?* Defibrillate Epinephrine CPR Cardiovert
