ACLS Megacode 3: Narrow Complex TachycardiaHurry, don’t let time run out!Sorry, time is up!0 Hours 0 Minutes 0 SecondsStep 1 of 520%UntitledAn 83-year-old female with H/O hypertension and diabetes presents to the emergency department for evaluation of palpitations and fatigue.Initial vitals:T: 36.5, R: 20, P: 160s, BP: 140/80, O2: 100%The monitor demonstrates the following with rate of approximately 150s-160s:1. What is your initial step in management?*Synchronized cardio versionValsalva maneuversAmiodaroneIVFs Despite vagal maneuvers, the patient remains persistently tachycardic.2. What medications can be used for treatment?*Metoprolol, epinephrineMetoprolol, dobutamineMetoprolol, diltiazemMetoprolol, dopamine After attempting vagal maneuvers and rate controlling agents, the patient remains persistently tachycardic.She now complains of feeling very light-headed. She is diaphoretic and blood pressure drops to 70s/30s.3. What is the next step in management?*Synchronized cardio versionDefibrillationIVFsMetoprolol After synchronized cardioversion, the patient feels improved.Heart rate is 110, BP 130/60, and repeat rhythm strip demonstrates the following:4. What is your next step in management?*Metoprolol or diltiazemAmiodaroneSynchronized cardio versionRe-assess patient, consider IVFs The patient starts to feel light-headed again.She is mentating appropriately. Repeat vitals demonstrate P: 180, BP: 120/70.Rhythm strip demonstrates the following:5. What is your next step in management?*Give 6mg of adenosineGive dobutamineGive amiodaroneCardiovert This iframe contains the logic required to handle Ajax powered Gravity Forms.