ACLS Review
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40 <strong>ACLS</strong> (Advanced Cardiac Life Support) <strong>Review</strong> ...<br />
❍<br />
A patient in the CCU complains of sudden dizziness, nausea, vomiting, and difficulty breathing. Exam<br />
reveals rales throughout both lung fields, BP is 80/50, and respirations are 40/min. The monitor shows the<br />
following rhythm. What should be the initial treatment?<br />
IV access, O 2 , monitor. Give IV sedation and then perform synchronized cardioversion at 100 J. (The ECG above<br />
shows paroxysmal SVT.)<br />
❍<br />
The patient has been in the following rhythm for 2–3 minutes. What should be the initial treatment?<br />
CPR, epinephrine, atropine. May consider transvenous pacemaker. (The rhythm above shows asystole.)<br />
❍<br />
A patient is pulseless and apneic. CPR is in progress. The monitor shows the following rhythm. What should<br />
be the initial treatment?<br />
Defibrillate immediately with 360 J for up to three shocks (or until a spontaneous rhythm is obtained), intubate,<br />
and then IV access. (The rhythm above shows ventricular tachycardia.)
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