Identify the appropriate electrical intervention for the following EKG rhythms

Identify the appropriate electrical intervention for the following EKG rhythms
1.

a.  Defibrillate 120-200 J and increase stepwise for refractory rhythm
b.  Initiate transcutaneous pacing at 60 bpm
c.  Synchronize cardiovert with 120 J
d.  Electrical interventions are not appropriate for this rhythm

2.

a.  Synchronized cardioversion with 50 J, increasing to 100 J for a refractory rhythm
b.  Defibrillate with 360 J (monophasic)
c.  Begin transcutaneous pacing at a rate of 60 bpm
d.  Provide unsynchronized shocks beginning at 120-200J

3.

PEA rhythm

a.  Defibrillate 120-200 J (biphasic) and increase stepwise for refractory rhythm
b.  Initiate transcutaneous pacing at 60 bpm
c.  Electrical interventions are not appropriate for this rhythm
d.  Synchronize cardiovert with 50 J


4.

a.  Synchronized cardioversion with 100 J, increasing to 150 J for a refractory rhythm
b.  Electrical interventions are not recommended for this rhythm
c.  Begin transcutaneous pacing at a rate of 60 bpm
d.  Provide unsynchronized shocks beginning at 120-200J


5.

Unstable VT with a pulse

a.  Defibrillate 360 J (monophasic) and increase joule settings  for a refractory rhythm
b.  Initiate immediate fixed rate transcutanous pacing at 60 bpm
c.  Electrical interventions are not appropriate for this rhythm
d.  Synchronize cardiovert with 100 J


Answers
1.  b.  Initiate transcutaneous pacing at 60 bpm
2.  c.  Begin transcutaneous pacing at a rate of 60 bpm
3.  c.  Electrical interventions are not appropriate for this rhythm
4.  b.  Electrical interventions are not recommended for this rhythm
5.  d.  Synchronize cardiovert with 100 J

Reviewed on 3/2/16