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?*Provide supplemental oxygenStart epinephrine infusionInitiate IV, monitor, and gather historyGive 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?*Synchronized cardio versionAtropine 0.5mgAdenosine 6mgTranscutaneously 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?*Initiate CPRTransvenous pacingIntubateGive atropine, transcutaneous 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?*Dobutamine 5mcg/kg/minuteAmiodarone, 150mg bolus over 10 minutesDiltiazem 5mg/hourEpinephrine 2-10mcg/minute infusion 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 dopamineDefibrillateInitiate CPRCardovert You continue CPR.On re-evaluation, the monitor demonstrates the following:6. What is your next step in management?*Synchronized cardio versionCheck a pulseDefibrillateIV fluids 7. Which of the following represents possible causes of PEA arrest?*Hypomagnesmia, hypocalcemiaSepsis, myocardial infarctionPulmonary embolism, hyperthermiaHypoxia, hypovolemia The patient regains a pulse.8. What is your next step in management?*Oxygenate appropriately, maintain perfusion, consider therapeutic hypothermiaStart dobutamineSend for cardiac catheterizationIntubate, admit to the ICU This iframe contains the logic required to handle Ajax powered Gravity Forms.