ACLS Megacode 2: Bradycardia Hurry, don’t let time run out! Sorry, time is up! 0 hours 0 minutes 0 seconds Step 1 of 8 12% Untitled A 58-year-old female with history of hypertension and diabetes presents for evaluation of lightheadedness. Initial vitals: T: 36.5, BP: 140/70, R: 22 P: 34, O2: 100% 1. What is your initial step in management?*Start epinephrine infusionInitiate IV, monitor, and gather historyProvide supplemental oxygenGive atropine While an IV is placed, the patient is attached to a monitor. You appreciate the following rhythm: 2. What is the next step in management?*Atropine 0.5mgAdenosine 6mgSynchronized cardio versionTranscutaneously pace the patient You give atropine without response in heart rate. Patient begins to feel more light-headed and feels like she is going to pace out. Rhythm strip remains unchanged. Repeat vitals demonstrate a thready pulse and BP: 70/30.3. What is your next step in management?*IntubateInitiate CPRGive atropine, transcutaneous pacingTransvenous pacing You attempt to transcutaneously pace the patient but are unable to capture and patient remains persistently bradycardia and hypotensive. 4. Which medication can be started for treatment?*Diltiazem 5mg/hourDobutamine 5mcg/kg/minuteEpinephrine 2-10mcg/minute infusionAmiodarone, 150mg bolus over 10 minutes You are attempting transcutaneous pacing but the patient remains persistently bradycardic.You attempt dopamine infusion but patient remains bradycardia. The patient now has become completely unresponsive and you are unable to palpate a pulse. Rhythm strip demonstrates the following: 5. What is the next step in management?*CardovertDefibrillateGive dopamineInitiate CPR You continue CPR.On re-evaluation, the monitor demonstrates the following: 6. What is your next step in management?*IV fluidsDefibrillateCheck a pulseSynchronized cardio version 7. Which of the following represents possible causes of PEA arrest?*Sepsis, myocardial infarctionHypoxia, hypovolemiaHypomagnesmia, hypocalcemiaPulmonary embolism, hyperthermia The patient regains a pulse. 8. What is your next step in management?*Intubate, admit to the ICUStart dobutamineOxygenate appropriately, maintain perfusion, consider therapeutic hypothermiaSend for cardiac catheterization This iframe contains the logic required to handle Ajax powered Gravity Forms.