ACLS Megacode Scenario 7
By Mark Dzwonkiewicz, FP-C, LI | Medically reviewed by Andrew Wolf, EdD, RN on October 30, 2024
Quiz Summary
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Question 1 of 11
1. Question
A 26-year-old male patient is brought to the emergency department for difficulty breathing, urticaria, and periorbital edema after eating shrimp.You notice that the patient is hoarse and has respiratory stridor. His skin is flushed.
You take his vital signs and note the following: HR 135 bpm, BP 90/50 mmHg, RR 30 breaths per minute and labored, SpO2 94%.
1. What is your preliminary diagnosis?
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Question 2 of 11
2. Question
The man suddenly loses consciousness and becomes unresponsive. You check for a pulse and note that it is rapid and thread. He is not breathing.2. What is your first course of action?
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Question 3 of 11
3. Question
As you open the patient’s airway, the code team arrives with the crash cart that includes the defibrillator, drugs, and advanced airway equipment.3. The best course of action is to:
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Question 4 of 11
4. Question
4. The correct rate of ventilation for this patient is:
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Question 5 of 11
5. Question
5. Each breath should be given over:
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Question 6 of 11
6. Question
The patient is connected to a biphasic defibrillator, and an IV is inserted in the dorsal vein of the right hand.Another team member reports there is no longer a detectable pulse. You observe the following ECG tracing on the monitor:
6. What is your interpretation of the ECG finding?
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Question 7 of 11
7. Question
7. What is your next course of action?
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Question 8 of 11
8. Question
After the previous intervention, you look at the monitor and see the following ECG tracing.You resume high-quality CPR. After two minutes, the patient still does not have a pulse, and the ECG rhythm on the monitor is unchanged. You repeat defibrillation. The team resumes high-quality CPR and administers 1 mg epinephrine IV while CPR is in progress.
8. Given the patient’s situation, another intervention to consider at this time is:
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Question 9 of 11
9. Question
A surgical airway is inserted via tracheostomy. At the end of five cycles of CPR, you defibrillate the patient for the third time.The team resumes CPR and administers a second dose of 1 mg epinephrine IV. At the two-minute pulse check, you detect a pulse. You check the monitor and see this rhythm.
9. What is the interpretation of the ECG findings?
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Question 10 of 11
10. Question
The following vital signs are recorded: HR 42 bpm, BP 80/50 mmHg, RR 12 breaths per minute, temperature 36.1°C, SpO2 95%.The patient is unconscious.
10. What is your next course of action?
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Question 11 of 11
11. Question
The patient is being prepared for transport to the intensive care unit.You again record the patient’s vital signs and get the following: HR 62 bpm, BP 90/60mmHg, RR 12 breaths per minute mechanical ventilator assisted, temperature 36.1°C, SpO2 100%.
The patient is still unconscious.
11. What is your next consideration for this patient?
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ACLS Megacode Scenario 7 Video
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