My heart goes boom-tiddy-boom

 

This SAQ is worth 12 marks

A 65 year old man presents to the emergency department with a history of palpitations.

His vital signs are:
BP 105/60 mmHg
RR 26 /min
Temperature 36.2C

View attached:  Attachment 1

Question 1.
List four (4) of the ECG abnormalities you can see to support the diagnosis of Ventricular Tachycardia. (4 marks)

 

1._____________________________________________________________________________

 

2._____________________________________________________________________________

 

3._____________________________________________________________________________

 

4._____________________________________________________________________________



Question 2.
List four (4) clinical features that would influence your decision to urgently electrically cardiovert this patient. (4 marks)

 

1.__________________________________________________________________________

 

2.__________________________________________________________________________

 

3.__________________________________________________________________________

 

4.__________________________________________________________________________



Question 1.
Assuming none of the features are present in (ii), list two (2) choices for chemical cardioversion, specifying drugs and doses. (4 marks)

  Drug Dose
1    
2    



 

This SAQ is worth 12 marks

A 65 year old man presents to the emergency department with a history of palpitations.

His vital signs are:
BP 105/60 mmHg
RR 26 /min
Temperature 36.2C

Question 1.
List four (4) of the ECG abnormalities you can see to support the diagnosis of Ventricular Tachycardia. (4 marks)



Question 2.
List four (4) clinical features that would influence your decision to urgently electrically cardiovert this patient. (4 marks)



Question 1.
Assuming none of the features are present in (ii), list two (2) choices for chemical cardioversion, specifying drugs and doses. (4 marks)




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ECG   tachyarrhythmia   cardioversion   ACEM_2015.1