ACLS Megacode 2: BradycardiaHurry, don’t let time run out!Sorry, time is up!0 Hours 0 Minutes 0 SecondsStep 1 of 812%UntitledA 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 infusionGive atropineInitiate IV, monitor, and gather historyProvide supplemental oxygen 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?*Transcutaneously pace the patientSynchronized cardio versionAtropine 0.5mgAdenosine 6mg 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?*IntubateGive atropine, transcutaneous pacingInitiate CPRTransvenous 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/hourEpinephrine 2-10mcg/minute infusionAmiodarone, 150mg bolus over 10 minutesDobutamine 5mcg/kg/minute 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?*Give dopamineDefibrillateCardovertInitiate CPR You continue CPR.On re-evaluation, the monitor demonstrates the following:6. What is your next step in management?*DefibrillateCheck a pulseSynchronized cardio versionIV fluids 7. Which of the following represents possible causes of PEA arrest?*Pulmonary embolism, hyperthermiaHypomagnesmia, hypocalcemiaHypoxia, hypovolemiaSepsis, myocardial infarction The patient regains a pulse.8. What is your next step in management?*Intubate, admit to the ICUOxygenate appropriately, maintain perfusion, consider therapeutic hypothermiaSend for cardiac catheterizationStart dobutamine This iframe contains the logic required to handle Ajax powered Gravity Forms.