Question 26 (part 2) · LEK · Ventricular arrhythmias
A patient about 70 years old presented to the Accident and Emergency Department after a fainting episode, and with visible signs of acute circulatory failure, blood pressure (BP) 70/30, pallor of the skin, and a capillary refill time (CRT) of 4 seconds. The patient's described condition and the following ECG recording indicate the need for taking the following actions:
- A. defibrillation with 150J of energy.
- B. cardioversion.
- C. carotid sinus massage in a supine position.
- D. intravenous administration of Adenosine at a dose of 6 mg.
- E. intravenous administration of Magnesium Sulfate at a dose of 2 g.
Hint
Identify the rhythm, then note that the patient has a pulse but shows adverse features such as syncope and shock.
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