ACLS Megacode Questions with 100%correct Answers.

ACLS Megacode Questions with 100%correct Answfor several hours. The assessment is as follows: SKIN: Hydrated, pale, warm and dry CVS: Strong peripheral pulses and a BP of 125/80 CNS: Fully intact RESP: RR is 22, no resp. difficulties, lungs CTA You place o2 at 2L by NC on the patient and start an IV. The monitor shows a narrow complex SVT (160). What is your next intervention? - Answerattempt vagal maneuvers You have performed vagal maneuvers. The patient has shows no change on the monitor. What is your next step? - AnswerGive adenosine 6mg rapid IV push. If no conversion, give 12mg rapid IV push You give 6mg Adenosine rapid IV push with no effect. 12mg Adenosine rapid IV push is then given. The patient develops severe chest pain. You see a change in the rhythm. The BP (not obtainable), and weak pulse. The patient also has LOC changes. Your next step should be? - Answerperform immediate synchronized cardioversion *Synchronized cardioversion is indicated for unstable ventricular tachycardia with a pulse. 100 J is given for regular wide complex ventricular tachycardia. After synchronized cardioversion is unsuccessful, the pt. continues to deteriorate. The patient is now unconscious with pusleless ventricular tachycardia. Below is what you see on the monitor: - AnswerGive one unsynchronized shock (120-200 J) *Defibrillation/unsynchronized shock is the most important intervention for the conversion of pulseless VT. Defibrillation should always be performed as soon as possible for pulseless VT. You perform defibrillation with 120 J. What is your next intervention? - Aners.