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?*Synchronized cardioversionAdminister a beta-blocker or calcium channel blockerAdminister adenosineIdentify the underlying causeThe 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?*Identify the underlying causeAdministration of adenosine 0.1mg/kg with maximum of 6mg doseSynchronized cardioversionAdminister IVF’s3. Which of the following describes appropriate vagal maneuvers that can be attempted to convert the patient back to normal sinus rhythm?*Carotid massage or valsalva with leg liftCardiac thumpShoulder massageHot water immersionAfter 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?*IntubateValsalva maneuversSynchronized cardioversion at 0.5 J/kgAdminister a beta-blocker This iframe contains the logic required to handle Ajax powered Gravity Forms.
