You are treating a 68 year old male who has been brought into the resuscitation bay by the ambulance crew. The patient was at home when he suddenly experienced dizziness and difficulty breathing. The ambulance crew presents the patient’s ECG to you. You are considering administering atropine to address the patient’s bradyarrhythmia. Which of the following statements is accurate regarding the use of atropine?
A 32-year-old woman comes to the Emergency Department complaining of dizziness and palpitations. She informs you that she was recently diagnosed with type A Wolff-Parkinson-White syndrome. You proceed to perform an ECG.
Which of the following ECG characteristics is NOT observed in type A Wolff-Parkinson-White (WPW) syndrome?
A 32-year-old woman comes to the Emergency Department complaining of dizziness and palpitations. She informs you that she was recently diagnosed with type B Wolff-Parkinson-White syndrome. You conduct an ECG.
Which of the following ECG characteristics is NOT observed in type B Wolff-Parkinson-White (WPW) syndrome?
A 32-year-old woman comes to the Emergency Department complaining of dizziness and palpitations. She informs you that she was recently diagnosed with Wolff-Parkinson-White syndrome. She is connected to an ECG monitor, and you observe the presence of an arrhythmia.
What is the most frequently encountered type of arrhythmia in Wolff-Parkinson-White syndrome?
A 32-year-old woman comes to the Emergency Department complaining of dizziness and palpitations. She informs you that she was recently diagnosed with Wolff-Parkinson-White syndrome. You proceed to perform an ECG.
Which ONE statement about the ECG findings in Wolff-Parkinson-White (WPW) syndrome is accurate?
A 72-year-old woman presents with worsening abdominal distension and discomfort. During the examination, she exhibits significant dependent edema and an elevated JVP. Cardiac auscultation reveals a pansystolic murmur. The abdomen is distended and tender, with the presence of shifting dullness.
What is the SINGLE most probable diagnosis?
Whilst assessing a patient in the Emergency Department, you observe a diastolic murmur.
Which of the following is NOT a potential cause of a diastolic murmur?
A 45-year-old woman presents with recurrent episodes of central chest pain that radiate to her left arm. She has a history of angina and uses a GTN spray for relief. She reports that the pains have been occurring more frequently in the past few days and have been triggered by less exertion. Currently, she is not experiencing any pain, and her ECG shows normal sinus rhythm with no abnormalities in T wave or ST-segment.
What is the SINGLE most probable diagnosis?
A 48 year old female presents to the emergency department complaining of palpitations. She reports experiencing brief episodes of palpitations over the past week, which typically resolve on their own after 5-10 minutes. However, today’s episode has been ongoing for 30 minutes. The patient denies any chest pain or shortness of breath. The patient’s vital signs are as follows:
Blood pressure: 110/70 mmHg
Pulse: 120 bpm
Respiration rate: 17 bpm
Temperature: 36.5ºC
Oxygen saturations: 97% on room air
An electrocardiogram (ECG) is performed and reveals atrial fibrillation. What is the most appropriate initial management for this patient?
You are treating a 68 year old male who has been brought into the resuscitation bay by the ambulance crew. The patient was at home when he suddenly experienced dizziness and difficulty breathing. The ambulance crew presents the patient’s ECG to you. You plan on administering atropine to address the patient’s bradyarrhythmia.
According to the resuscitation council, what is the maximum recommended total dose of atropine that should be administered?