ACLS Megacode Simulator 1
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to
treat the patient. There are 12 questions for this ACLS megacode
scenario. Assume the use of biphasic defibrillator in all scenarios.
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
11. 11
12. 12
1. Answered
2. Review
1. Question 1 of 12
A 40-year-old man arrives at the ER accompanied by his family. He is
complaining of palpitations after working outside for 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 start an IV on the patient. The monitor shows a narrow complex SVT
(160).
What is your next intervention?
This study source was downloaded by 100000836551366 from CourseHero.com on 02-21-2022 11:15:28 GMT -06:00
https://www.coursehero.com/file/78150786/ACLS-Megacode-Simulator-1doc/
, o 1. Give adenosine 6mg rapid IV push
o 2. Attempt vagal maneuvers
o 3. Perform immediate synchronized cardioversion
o 4.
You have performed vagal maneuvers. This is what you see on the
monitor:
What is your next step?
1. Give adenosine 6mg rapid IV push. If no conversion, give 12mg rapid
IV push
2. Give adenosine 12mg rapid IV push. If no conversion, give another
12mg rapid IV push.
3. Give Amiodarone 150mg over 10 minutes. May repeat as needed
4. Continue to attempt vagal manuvers until the patient converts to a regular
sinus rhythm
Incorrect
If vagal maneuvers fail to convert regular narrow complex SVT,
the administration of 6mg of adenosine would be the next step.
If 6mg fails to convert the rhythm, 12mg may be given.
Question 3 of 12
You give 6mg Adenosine rapid IV push with no effect. 12mg Adenosine
rapid IV push is then given. The patient develops severe chest pain and his
vital signs are: HR 220, BP (not obtainable), and weak pulse. The patient
also has LOC changes. Your next step should be?
1. perform immediate defibrillation
2. give 2nd dose of 12mg adenosine rapid IV push
This study source was downloaded by 100000836551366 from CourseHero.com on 02-21-2022 11:15:28 GMT -06:00
https://www.coursehero.com/file/78150786/ACLS-Megacode-Simulator-1doc/
In this ACLS Megacode scenario, use the appropriate ACLS algorithms to
treat the patient. There are 12 questions for this ACLS megacode
scenario. Assume the use of biphasic defibrillator in all scenarios.
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
11. 11
12. 12
1. Answered
2. Review
1. Question 1 of 12
A 40-year-old man arrives at the ER accompanied by his family. He is
complaining of palpitations after working outside for 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 start an IV on the patient. The monitor shows a narrow complex SVT
(160).
What is your next intervention?
This study source was downloaded by 100000836551366 from CourseHero.com on 02-21-2022 11:15:28 GMT -06:00
https://www.coursehero.com/file/78150786/ACLS-Megacode-Simulator-1doc/
, o 1. Give adenosine 6mg rapid IV push
o 2. Attempt vagal maneuvers
o 3. Perform immediate synchronized cardioversion
o 4.
You have performed vagal maneuvers. This is what you see on the
monitor:
What is your next step?
1. Give adenosine 6mg rapid IV push. If no conversion, give 12mg rapid
IV push
2. Give adenosine 12mg rapid IV push. If no conversion, give another
12mg rapid IV push.
3. Give Amiodarone 150mg over 10 minutes. May repeat as needed
4. Continue to attempt vagal manuvers until the patient converts to a regular
sinus rhythm
Incorrect
If vagal maneuvers fail to convert regular narrow complex SVT,
the administration of 6mg of adenosine would be the next step.
If 6mg fails to convert the rhythm, 12mg may be given.
Question 3 of 12
You give 6mg Adenosine rapid IV push with no effect. 12mg Adenosine
rapid IV push is then given. The patient develops severe chest pain and his
vital signs are: HR 220, BP (not obtainable), and weak pulse. The patient
also has LOC changes. Your next step should be?
1. perform immediate defibrillation
2. give 2nd dose of 12mg adenosine rapid IV push
This study source was downloaded by 100000836551366 from CourseHero.com on 02-21-2022 11:15:28 GMT -06:00
https://www.coursehero.com/file/78150786/ACLS-Megacode-Simulator-1doc/
