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ACLS MEGACODE QUESTIONS AND ANSWERS 2025
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A 40 year old man arrives at the ER accompanied by his family. He is complaining of palpitations after working outside for several hours. The assessment is as follows: SKIN: Hydrated, pale, warm and dry CVS: Strong peripheral pulses and a BP of 125/80 CNS: Fully intact RESP: RR is 22, no resp...

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  • November 3, 2024
  • 3
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • acls megacode questions and answers 2025

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  • ACLS Heartcode
  • ACLS Heartcode

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ACLS MEGACODE QUESTIONS AND
ANSWERS 2025
A,40,year,old,man,arrives,at,the,ER,accompanied,by,his,family.,He,is,complaining,of,palpitations,
after,working,outside,for,several,hours.,The,assessment,is,as,follows:


SKIN:,Hydrated,,pale,,warm,and,dry
CVS:,Strong,peripheral,pulses,and,a,BP,of,125/80
CNS:,Fully,intact
RESP:,RR,is,22,,no,resp.,difficulties,,lungs,CTA


You,place,o2,at,2L,by,NC,on,the,patient,and,start,an,IV.,The,monitor,shows,a,narrow,complex,SV
T,(160).


What,is,your,next,intervention?,-,ANSWER,attempt,vagal,maneuvers


You,have,performed,vagal,maneuvers.,The,patient,has,shows,no,change,on,the,monitor.


What,is,your,next,step?,-
,ANSWER,Give,adenosine,6mg,rapid,IV,push.,If,no,conversion,,give,12mg,rapid,IV,push



You,give,6mg,Adenosine,rapid,IV,push,with,no,effect.,12mg,Adenosine,rapid,IV,push,is,then,give
n.,The,patient,develops,severe,chest,pain.,You,see,a,change,in,the,rhythm.
The,BP,(not,obtainable),,and,weak,pulse.,The,patient,also,has,LOC,changes.,Your,next,step,shoul
d,be?,-,ANSWER,perform,immediate,synchronized,cardioversion


*Synchronized,cardioversion,is,indicated,for,unstable,ventricular,tachycardia,with,a,pulse.,100,J,i
s,given,for,regular,wide,complex,ventricular,tachycardia.

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