Identify the following rhythm. Picture3.jpg 

A Fib.gif  Identify the following rhythm.

A 53 year old patient had a sudden onset of a tearing abdominal pain at the area of the umbilicus that radiates to his back. He is pale, ashen, and diaphoretic. He has a history of hypertension, for which he takes hydrochlorothiazide. Vital signs are BP 110/70, R 20. His ECG is below. How should you interpret this rhythm? 1593.jpg

In Type II Second Degree Heart Block with variable conduction, the R-R interval will: 

Perfusion to the coronary arteries occurs during

A 63-year-old male is alert and oriented, complaining of dizziness. He describes an acute onset of dizziness and near-syncope that has lasted for 15 minutes. He is also experiencing substernal chest pain radiating to his jaw, as well as nausea and weakness. Physical examination reveals cool, diaphoretic skin; delayed capillary refill; and mild crackles to the bases bilaterally. He has no significant medical history, but he takes 325 mg of aspirin a day. HR = 220, BP = 88/52, RR = 16, SaO 2 = 92%. Which of the following should be done first?

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A patient’s ECG shows ventricular tachycardia. You feel a radial pulse, BP 90/P, coolclammy skin and note an altered level of consciousness. What is the treatment of choice for thispatient?

A 67 year old male is experiencing chest pain, shortness of breath, and nausea.Management for this patient should include

A 55 year old male is pulseless and apneic. Bystander CPR has been in progress for 5minutes. His ECG is below. What is your initial treatment? 9364.jpg