Sinus TachycardiaHurry, don’t let time run out!Sorry, time is up!0 Hours 0 Minutes 0 SecondsStep 1 of 425%UntitledA 12-year-old female presents to the emergency department complaining of intermittent palpitations and fatigue.She denies any other associated symptoms. Initial vitals demonstrate the following:T: 36, P: 110, BP: 92/54, R: 14, O2: 100%.The monitor demonstrates the following:1. What is your initial step in management?*Administer a beta-blocker or calcium channel blockerIdentify the underlying causeAdminister adenosineSynchronized cardioversionThe patient suddenly reports feeling light-headed and is again experiencing palpitations.Repeat vitals: P: 160, BP: 92/54. You now see the following rhythm on the monitor:2. What is your next step in management?*Administration of adenosine 0.1mg/kg with maximum of 6mg doseAdminister IVF’sSynchronized cardioversionIdentify the underlying cause3. Which of the following describes appropriate vagal maneuvers that can be attempted to convert the patient back to normal sinus rhythm?*Cardiac thumpHot water immersionCarotid massage or valsalva with leg liftShoulder massageAfter two doses of adenosine, the rhythm strip is unchanged, the patient remains in SVT.She now feels very light-headed, nauseated, diaphoretic and repeat vitals demonstrate the following: HR: 220, BP: 60/30, O2: 98%, RR: 24.4. What is the next step in management?*Valsalva maneuversIntubateAdminister a beta-blockerSynchronized cardioversion at 0.5 J/kg This iframe contains the logic required to handle Ajax powered Gravity Forms.
