Activity 4: ECG Recognition

The interpretation of ECG is

• Paroxysmal supraventricular tachycardia.
• Supraventricular tachycardia.
• Ventricular tachycardia.
• Atrial tachycardia.

Your initial treatment for this patient is to

• Defibrillate at 360 J (or equivalent biphasic energy).
• Administer 300 mg of amiodarone.
• Administer 5 cycles (2 min) of CPR.
• Supply oxygen, start an IV and obtain a 12 lead ECG

Following your treatment in question 2, you

• Consider and treat possible causes of the arrhythmia.
• Defibrillate at 360 J (or equivalent biphasic energy).
• Administer 300 mg of amiodarone.
• Administer 5 cycles (2 min) of CPR.

Following the appropriate assessment in question 3, the rhythm shows on the monitor as

• Atrial fibrillation.
• Ventricular tachycardia.
• Sinus tachycardia.
• Supraventricular tachycardia.

The patient’s vital signs are still stable except for the fast heart rate. Your next appropriate treat- ment choice for this patient is to

• Defibrillate at 360 J (or equivalent biphasic energy).
• Administer 6.0 mg of adenosine.
• Administer 1.0 mg of epinephrine.
• Administer 1.0 mg of atropine.

Following the appropriate treatment in question 5, the rhythm shows on the monitor as

• Ventricular fibrillation.
• Supraventricular tachycardia.
• Ventricular tachycardia.
• Paroxysmal supraventricular tachycardia

The patient is still responsive and stable, but after 1–2 minutes the rhythm in ECG below still shows on the monitor. Your next appropriate treatment for this patient is to

• Defibrillate at 360 J (or equivalent biphasic energy).
• Administer 1–2 g of magnesium sulfate.
• Administer 12 mg of adenosine.
• Administer 1 mg of atropine.

Following the appropriate treatment in question 7, the rhythm below shows on the monitor as

• Ventricular fibrillation.
• Atrial fibrillation.
• Supraventricular tachycardia.
• Sinus tachycardia.

After another 2 minutes the rhythm in ECG below still shows up on the monitor. Now your most appropriate treatment choice is to

• Administer 12 mg of adenosine.
• Administer 6 mg of adenosine.
• Defibrillate at 200 J (or equivalent biphasic energy).
• Defibrillate at 360 J (or equivalent biphasic energy)

Following the appropriate treatment in question 9, the rhythm below shows on the monitor as

• Atrial fibrillation.
• Atrial tachycardia.
• Sinus tachycardia.
• Conversion to normal sinus rhythm.