Her initial vitals are as follows: T 36.8 / BP 120/60 / HR 180 / RR 20 / Pulseox 100% on room air.

You check an EKG which demonstrates the following:

1.What is the best management strategy?

Beta-blockers Carotid massage or valsalva maneuvers Calcium channel blockers IV fluids

2.What medication can be administered for therapeutic and/or diagnostic purposes?

Amitriptyline Adenosine Atenolol Amiodarone

3.What is your next step in management?

Transfuse Re-assess vitals Administer calcium channel blockers Administer beta blockers

Her repeat vitals are as follows: T: 36.8 BP: 70/40 HR: 180s RR: 24 O₂: 100%

You get a repeat EKG which demonstrates the following:

4.What is your next step in management?

Carotid massage Administer calcium channel blocker Cardiovert Defibrillate

5.What Joules should be used for cardioversion?

220 J 150 J 360 J 200 J

ACLS Megacode 4: Stroke