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رجوع لأسئلة Tachy- & Bradyarrhythmia Emergencies 2 / 4
B-114 مطابق للمصدر

Patiently suddenly collapsed, CPR was initiated, ECG reveled ventricular tachycardia, what is the next step?

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الإجابة والشرح

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الإجابة: B. stop CPR and defibrillate

✓ مطابق للمصدر Step_Up_To_Medicine_6th_Arrhythmia,_brady&tachy_arrhythmia.pdf · p. 6

A collapsed patient needing CPR with VT on the monitor has pulseless VT, a shockable rhythm treated like VF: give an unsynchronized shock (defibrillation) as soon as possible, then resume CPR. Epinephrine and amiodarone come later in the ACLS cycle (amiodarone for refractory rhythm), and continuing 2 minutes of CPR before shocking delays the key intervention.

ليش كل خيار صح أو غلط

  • A ليش غلط

    The listed sequence is CPR started immediately, then defibrillation (unsynchronized shock) ASAP; the shock is the next step, not more CPR first.

    ✓ Cardiac emergencies.pdf · p. 1
  • B ليش صح

    Defibrillation (an unsynchronized shock) is indicated for VFib and pulseless VT; a collapsed patient in CPR with VT is treated this way.

    ✓ Step_Up_To_Medicine_6th_Arrhythmia,_brady&tachy_arrhythmia.pdf · p. 6
  • C ليش غلط

    IV amiodarone is for stable VT, or as an antiarrhythmic if the rhythm is refractory after shocks; it is not the first step in a collapsed patient.

    ✓ Cardiac emergencies.pdf · p. 1
  • D ليش غلط

    Epinephrine 1 mg every 3-5 min comes after defibrillation in the sequence (step 3, with CPR continuing).

    ✓ Cardiac emergencies.pdf · p. 1
المصدر
Step_Up_To_Medicine_6th_Arrhythmia,_brady&tachy_arrhythmia.pdf · p. 6
Cardiac emergencies.pdf · p. 1
المحاضرة
Tachy- & Bradyarrhythmia Emergencies · Cardiology · Module B
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