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Last Update: 02/18/2025 02:39 AM
Current Deck: BPT Questions
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Commit #2850622017 b Question 44
A 75 man is admitted with Community Acquired Pneumonia. On day three of admission, he has a cardiac arrest on the ward.
He is given IV Adrenaline 1mg and has 4 cycles of CPR, receiving a further 1mg of Adrenaline after the 2nd cycle.
This is displayed on the monitor at the next rhythm check:
What is the next most appropriate step in management?
a) Magnesium Sulphate
b) IV Adrenaline 1mg
c) IV Amiodarone 300mg
d) Defibrillation with 200 Joules
e) Cardiac Catheterisation
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Commit #285062a) Magnesium Sulphate – no; only indication is torsades de pointes
b) IV Adrenaline 1mg – yes; this is an unshockable rhythm; appropriate to continue with CPR and IV Adrenaline
c) IV Amiodarone 300mg – no; only used in a shockable rhythm
d) Defibrillation with 200 Joules – no; this is not a NOT a shockable rhythm (VF or pVT)
d) Defibrillation with 200 Joules – no; this is not a NOT a shockable rhythm (VF or pVT)
e) Cardiac Catheterisation – no; not an appropriate NEXT step in the given circumstances
