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?*Intubate the patientDefibrillateStart CPRCheck a pulse 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 biphasic100 J for mono, 50 J for biphasic360 J for mono, 360 J for biphasic360 J for mono, 200 J for biphasic You have defibrillated the patient and he remains pulseless.3. What is the next step?*Cease effortsCardiovertContinue CPR, administer epinephrineGet 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?*AdenosineAtenololAmiodaroneAtropine You have administered your next round of medications and performed another round of CPR. You check the rhythm: 5. What is your next step?*DefibrillateAdminister AmiodaroneCheck a pulseCardiovert You continue CPR and administer epinephrine. The patient develops the following rhythm: 6. What do you do next?*CardiovertEpinephrineDefibrillateCPR
