Ventricular Tachycardia Hurry, don’t let time run out! Sorry, time is up! 0 Hours 0 mins 0 secs Step 1 of 5 20% A 12-year-old patient collapses at a sporting event. Bystanders performed CPR on the scene. Patient arrives in the emergency department with initial vitals demonstrating T: 35, P: thread, BP: 60/30, O2: 95%. 1. What are initial steps in management?*CardiovertABC’sConsult cardiologyAdenosine Staff is able to effectively manually bag the patient. An IV is being established. Initial EKG demonstrates the following: 2. What is the initial treatment?*AmiodaroneDefibrillationCardioversionAll of the above As you are supporting airway, establishing IV access, giving IV fluids, and preparing for cardioversion, the nurse asks how many Joules you would like to use for cardioversion for this 40kg patient. 3. The answer is:*100J via synchronized cardioversion80J via synchronized cardioversion20J via synchronized cardioversion20J via unsynchronized defibrillation You attempt cardioversion but unfortunately the patient remains unresponsive and now has lost a pulse. Rhythm strip is unchanged:4. What is the next step in management?*DefibrillationAmiodaroneAdministration of epinephrineCardioversion The patient remains in the same rhythm. You continue CPR. 5. Which of the following correctly describes the appropriate medication and dosing to be administered in pulseless ventricular tachycardia?*1mg epinephrine, consider 300mg amiodarone during subsequent round of CPR6mg adenosine, consider 150mg amiodarone during subsequent round of CPR1mg epinephrine, consider 150mg amiodarone during subsequent round of CPR1mg atropine, consider epinephrine during subsequent round of CPR
