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Identify the rhythm and describe the electrical interventions associated with each rhythm. 1. a.    Attempted defibrillation of ventricular fibrillation b.    Attempted transcutaneous pacing of atrial flutter c.    Attempted cardioversion of atrial fibrillation d.    Attempted defibrillation of multifocal atrial tachycardia 2. a.   Unsuccessful defibrillation of ventricular fibrillation b.   Successufl cardioversion of atrial fibrillation c.   External pacing of aystole with good electrical capture d.   Failure to capture complete heart block 3.  Is this the appropriate electrical intervention for this rhythm? a.   Yes, synchronized cardioversion is an acceptable intervention for polymorphic VT b.   Yes, overdrive pacing is being attempted for polymorphic ventricular tachycardia c.   No,  unsynchronized cardioversion is only appropriate this monomorphic VF d.   No, ...

Identify the following rhythm strips 1. a.   Defibrillation of ventricular fibrillation b.   Cardioversion of polymorphic ventricular tachycardia c.   Defibrillation of ventricular tachycardia d.   Cardioversion of supraventricular tachycardia 2. a.  Cardioversion of supraventricular tachycardia b.  Cardioversion of unifocal ventricular tachycardia c.  Defibrillation of ventricular fibrillation d.  Defibrillation of unifocal ventricular tachycardia 3. a.  Defibrillation of ventricular tachycardia to ventricular fibrillation b.  Defibrillation of ventricular fibrillation to polymorphic ventricular tachycardia c.  Defibrillation of ventricular tachycardia to atrial fibrillation d.  Defibrillation of unifocal ventricular tachycardia to polymorphic ventricular tachycardia 4. a.  External pacing of Mobitz II with good electrical capture b.  External pacing of complete heart block w...

A 55 year old male arrives to the ER with complaints of weakness, nausea, and difficulty breathing that began an hour ago.  His skin appears pale, cool and clammy.   Although he is alert, he is mildly confused and appears anxious and has difficulty concentrating.   He is taken immediately to the triage area where his vital signs are obtained:  97.6-200-24.  BP 88/54.   SPO2 92%.   A 12 lead EKG is obtained and the following rhythm is noted. 1.  Identify the above rhythm a.   Sinus tachycardia b.   Wandering atrial pacemaker with RVR c.   Supraventricular tachycardia d.  Atrial tachycardia   2.  Based upon the patient’s symptoms what is the recommended treatment for this patient? a.  Immediate defibrillation at 200 J b.  Adenosine 6mg IV given rapid push c.  Diltiazim 0.35mg/kg IV push over 5 minutes d.  Synchronized cardioversion ...

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.  El...

Identify the appropriate electrical intervention for the following EKG rhythms 1. a.   Defibrillate with 200 J (monophasic) b.  Transvenous pacing with 200 J with demand rate 80 bpm c.  Electrical intervention inappropriate for this rhythm d.  Transcutaneous pacing at 60 bpm 2. a.   Synchronized cardioversion with 100 J b.   Deliver an unsynchronized shock at 120 J c.   Defibrillation with 360 J monophasic and increase joules for refractory rhythms d.   Standby demand pacing with rate of 60 bpm 3. Unstable wide complex tachycardia a.   Transcutanous pacing with 120 mA and a fixed rate of 80 b.   Consider cardioversion at 100 J c.   Deliver an unsynchronized shock at 300 J monophasic d.  Defibrillation with 300 J monophasic 4. a.   Electrical intervention is inapproprate for this rhythm b.  Immediate defibrillation at 360 J (monophasic) c.  Attempt transcutaneous pacing with 2...

Identify the appropriate electrical intervention for the following EKG rhythms 1. Pulseless VT a.   Defibrillate 120-200 J (biphasic) b.  Synchronized shock at 200 J (monophasic) c.  Synchronized cardioversion 200 J d.  Electrical interventions inapproprate for this rhythm 2. PEA rhythm a.  Transcutanous pacing (demand) at 60 bpm with 100 mA b.  Synchronized cardioversion with 120 J, then 200 J for refractory rhythm c.  Electrical interventions not appropriate for this rhythm d.  Defibrillate with 360 J monophasic 3 a.   Defibrillate with 120 J and increase to 200 J for subsequent shocks b.  Transcutaneous pacing at 60 bpm, adjust mA until electrical capture obtained c.  Transvenous pacing with 360 J d.  Synchronized cardioversion with 50 J 4. a.  Defibrillate with 120-200 J and increase joule setting for refractory rhythm b.  Electrical intervention inappropriate for this rhythm ...

Identify the appropriate electrical intervention for the following EKG rhythms 1. a.  Unsynchronized shock at 120-200J b.  Electrical intervention inappropriate for this rhythm c.  Synchronized cardioversion at 50 mA d.  Standby demand pacing at 60 bpm 2. PEA rhythm a.  Defibrillation at 360 J (monophasic) b.  Deliver an asynchronous shock at 200 J (biphasic) c.  Electrical intervention inappropriate for this rhythm d.  Epicardial pacing at 100 J 3. a.  Cardioversion with 50 J b.  Unsynchronized shock at 120-200 J c.  Electrical intervention is not appropriate for this rhythm d.  Fixed rate overdrive pacing at 120 bpm 4. Pulseless arrest a.  Demand pacing at 60 bpm b.  Transcutanous pacing with 2-4J/kg c.  Defibrillation 120-200 J (biphasic) d.  Cardioversion 100 J 5. Unstable polymorphic VT a.  Fixed rate pacing at 60 bpm b.  Electrical interve...

Identify the appropriate electrical intervention for the following EKG rhythms. 1. a.  Defibrillation 120-200 J (biphasic) b.  Defibrillation 120-200  J  (monophasic) c.  Synchronized cardioversion 50 J d.  Transcutanous pacing  60 bpm (fixed) 2. a.  Defibrillation 120-200 J (biphasic) b.  Defibrillation 120-200  J  (monophasic) c.  Synchronized cardioversion 50 J d.  Transcutanous pacing 60 bpm (synchronous) 3. symptomatic wide complex tachycardia a.  Defibrillation 120-200 J (biphasic) b.  Defibrillation 120-200  J  (monophasic) c.  Synchronized cardioversion 50 J d.  Transcutanous pacing  100 ma 4. a.  Defibrillation 120-200 J (biphasic) b.  Defibrillation 120-200  J  (monophasic) c.  Synchronized cardioversion 120 J d.  Transcutanous pacing  50 bpm (fixed) 5. a.  Defibrillation 120-200 J (biphas...