Question

A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting crushing chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Which would you have done first if the pt had not gone into VFib?

A)Initiate targeted temperature management
B)Performed synchronized cardioversion
C)Charge the defib 15s before conducting a rhythm check
D)None

Answer 1

If the patient had not gone into ventricular fibrillation, the first step would be to perform synchronized cardioversion.

Step-by-step explanation:

If the patient had not gone into ventricular fibrillation, the first step would be to perform synchronized cardioversion.

Synchronized cardioversion is a medical procedure in which an electrical shock is delivered to the heart at a specific point in the cardiac cycle to restore normal rhythm. It is used to treat certain types of abnormal heart rhythms, including ventricular tachycardia.

This procedure requires specific equipment and should only be performed by trained medical professionals.