ALS/ACLS - Team Response Scenario - Maurice Van Essen [2022] COMPLETE SOLUTION

ALS/ACLS - Team Response Scenario - Maurice Van Essen [2022] COMPLETE SOLUTION On rapid assessment, Mr. van Essen is responsive and his airway is patent. He appears pale and distressed. He is diap horetic. Select the tools to use during the primary assessment to gather more information about Mr. van Essen's clinical condition. What is your interpretation of the rhythm on the cardiac monitor? First, identify the rhythm. - Mr. van Essen's primary assessment findings are as follows:Blood pressure: 105/70 mmHgPulse: 182 bpmRespirations: 24 breaths/minTemperature: 98.6°FPulse oximetry: 96%Lung sounds: clearBased on Mr. van Essen's clinical presentation and these assessment findings, is his condition stable or unstable? - Which intervention would be an appropriate next step in caring for Mr. van Essen? - The 12-lead ECG confirms a narrow-complex supraventricular tachycardia with a regular rhythm. Based on Mr. van Essen's current condition, what is the appropriate next action? - Following the vagal maneuver, the team reassesses Mr. van Essen and notes the following:Blood pressure: 105/70 mmHgPulse: 178 bpmRespirations: 24 breaths/minTemperature: 98.6°FPulse oximetry: 96%Lung sounds: clearRhythm: unchangedWhat should the team do next? - What is the correct medication to prepare? - What is the initial dose of adenosine? After administering the initial dose of adenosine, the team reassesses Mr. van Essen and notes the following:Blood pressure: 105/70 mmHgPulse: 178 bpmRespirations: 24 breaths/minTemperature: 98.6°FPulse oximetry: 96%Lung sounds: clearRhythm: unchangedGiven these assessment findings, what is the appropriate next intervention? - Mr. van Essen receives two additional doses of adenosine (12 mg) but the supraventricular tachycardia persists. Mr. van Essen's blood pressure is decreasing and he is beginning to show changes in his level of consciousness. What should the team do next? - The cardiac monitor/defibrillator is biphasic. What initial dose should be used for synchronized cardioversion for Mr. van Essen?