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In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
1. You place o2 at 2L by NC on the patient and start an IV. The monitor continues to
show a narrow complex SVT
n this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
2. You have performed vagal maneuvers and there is no change in the patients heart
rate and rhythm. What is your next step?
Give adenosine 6mg rapid IV push. If no conversion, give 12mg rapid IV push
Give adenosine 12mg rapid IV push. If no conversion, give another 12mg rapid IV push.
Continue to attempt vagal manuvers until the patient converts to a regular sinus rhythm
n this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
3. You give 6mg Adenosine rapid IV push with no effect. 12mg Adenosine rapid IV push
is then given. The patient develops severe chest pain and his vital signs are: HR 220, BP
(not obtainable), and weak pulse. The patient also has LOC changes. Your next step
should be.
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
5. The patient does not respond to the defibrillation with 120 J. He remains unconscious
in ventricular tachycardia. What is your next intervention?
Give 1mg Epinephrine IV push (repeat the epinephrine every 3-5 minutes)
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
6. After completing 5 cycles of CPR, your rhythm check indicates a second shock. You
shock a second time with 200 J, and the patient's rhythm does not change. You resume
CPR. While completing the cycle of CPR what else should be done?
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
7. You have given the epinephrine or vasopressin and completed the 5 cycles of CPR. A
rhythm check reveals no change. You attempt at third defibrillation. What will be your
defibrillator setting?
200 Joules
160 Joules
400 Joules
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
8. The third shock does not change the rhythm and you restart CPR (5 cycles). You have
shocked, you have given vasopressors (epinephrine and/or vasopressin), you have
continued with effective CPR. What medication should be considered at this point?
Amiodarone (CORRECT)
Lopressor
Atropine
Dopamine
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
SKIN: Hydrated, pale, warm and dry
CVS: Strong peripheral pulses and a BP of 125/80
CNS: Fully intact
RESP: RR is 22, no resp. difficulties, lungs CTA
The monitor/ECG shows narrow complex SVT with a HR of 180.
9. What is the correct dosing for amiodarone in the Pulseless Arrest Algorithm?
200mg IV once.
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n this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
11. You give amiodarone 300 mg first dose and the patient converts to a Normal Sinus
Rhythm. You are instructed to start an amiodarone drip for the postresuscitation
maintenance therapy. What is maximumcumulative dose for amiodarone in a 24 hour
period?
3.2 grams
1.5 grams
5.6 grams
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to treat the
patient. There are 12 questions for this ACLS megacode scenario. Assume the use of
biphasic defibrillator in all scenarios.
A 40 year old man arrives at the ER accompanied by his family. He is complaining of
palpitations after working outside for several hours. The assessment is as follows:
12. Great Job! You saved the patient He has been stabilized and intubated, but does
not respond to verbal commands. He is transported to the hospital's ICU. Since the
patient is not responsive what would be the most important intervention in the post-
cardiac arrest phase.