A 45yo man had coronary artery stents placed 2 days ago. Today,he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
and O2 sat is 89% on room air. When applied, the cardiac monitor initially showed
ventricular tachycardia, which then quickly changed to ventricular fibrillation. Based on this
patient's initial presentation, which condition do you suspect led to the cardiac arrest? -
Answer✅
Acute coronary syndrome
Quiz_________________?
A 45yo man had coronary artery stents placed 2 days ago. Today,he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
and O2 sat is 89% on room air. When applied, the cardiac monitor initially showed
ventricular tachycardia, which then quickly changed to ventricular fibrillation. Despite 2
defibrillation attempts, the patient remains in vfib. which drug and dose should you
administer first to this patient? -
Answer✅
Epinephrine 1 mg
Quiz_________________?
1
, A 45yo man had coronary artery stents placed 2 days ago. Today,he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
and O2 sat is 89% on room air. When applied, the cardiac monitor initially showed
ventricular tachycardia, which then quickly changed to ventricular fibrillation. Despite the
initial drug provided after two shocks and continued CPR, the patient remains in ventricular
fibrillation. Which other drug should be administered next? -
Answer✅
Amiodarone 300 mg
Quiz_________________?
A 45yo man had coronary artery stents placed 2 days ago. Today,he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
and O2 sat is 89% on room air. When applied, the cardiac monitor initially showed
ventricular tachycardia, which then quickly changed to ventricular fibrillation. In addition to
defibrillation, which intervention should be performed immediately? -
Answer✅
Chest compressions
Quiz_________________?
A 45yo man had coronary artery stents placed 2 days ago. Today,he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
and O2 sat is 89% on room air. When applied, the cardiac monitor initially showed
ventricular tachycardia, which then quickly changed to ventricular fibrillation. The patient
has return of spontaneous circulation and is not able to follow commands. Which immediate
post-cardiac arrest care intervention do you choose for this patient? -
Answer✅
Initiate targeted temperature management
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