ACLS Megacode Scenario 11
By Mark Dzwonkiewicz, FP-C, LI | Medically reviewed by Lisa Wright, MHA, RRT-NPS on November 7, 2024
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Question 1 of 5
1. Question
You are working in triage in the emergency department when a 58-year-old woman with a history of Wolff-Parkinson-White syndrome comes in complaining of dizziness and palpitations.You take her vital signs: HR 210 bpm, BP 90/60 mmHg, RR 22 breaths per minute, temperature 36.1°C, and SpO2 97%.
The emergency department physician places her on a monitor attached to a biphasic defibrillator. You see the following rhythm:
1. What is the ECG interpretation of the rhythm strip above?
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Question 2 of 5
2. Question
2. What is the next appropriate step for this patient?
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Question 3 of 5
3. Question
The team has inserted an intravenous catheter.3. What is the drug of choice for this patient?
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Question 4 of 5
4. Question
After giving one dose of adenosine and attempting vagal maneuvers for one minute, the patient’s arrhythmia persists.She still has the same vital signs, and she is still coherent.
4. What is the next most appropriate treatment for this patient?
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Question 5 of 5
5. Question
After administering the previous therapy, the patient has not improved.5. What is the next most appropriate treatment for this patient?
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ACLS Megacode Scenario 11 Video
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