Question

A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the emergency department. The healthcare team completes the necessary assessments and begins to care for the patient, including initiating cardiac monitoring and pulse oximetry; providing supplemental oxygen and ensuring adequate ventilation; and obtaining vascular access. The team reviews the patient's ECG rhythm strip, as shown in the following figure. Which agent would the team most likely administer?

Epinephrine 2 to 10 mcg/min
Dopamine 5 to 10 mcg/min
Atropine 1 mg every 3 to 5 minutes
Amiodarone 150 mg over 10 minutes

Answer 1

1. Given the ECG rhythm strip and the patient's presentation, the healthcare team would most likely administer Amiodarone 150 mg over 10 minutes.

Therefore, correct option is Amiodarone 150 mg over 10 minutes

Step-by-step explanation:

The ECG rhythm strip, which is not provided here, would guide the choice of medication. Amiodarone is often indicated for life-threatening ventricular arrhythmias, and its slow infusion over 10 minutes is in line with advanced cardiac life support (ACLS) protocols. In a patient with dyspnea, inadequate blood pressure, and a change in mental status, ventricular arrhythmias could be a contributing factor, and Amiodarone may be administered to restore a more stable rhythm.

The team's initial actions, such as cardiac monitoring, pulse oximetry, supplemental oxygen, ventilation support, and obtaining vascular access, are foundational steps in the management of a critically ill patient, creating a stable environment for further interventions.

Understanding the indications and appropriate dosages of antiarrhythmic medications, including Amiodarone, is essential for healthcare professionals involved in emergency care. Regular ACLS training and updates ensure that providers are equipped to make timely and effective decisions in high-stakes situations.

Therefore, correct option is Amiodarone 150 mg over 10 minutes