Managing Tachyarrhythmias

Other than the risk factors mentioned in the scenario, state 2 risk factors which may precipitate an SVT (supraventricular tachycardia) (maximum 1 mark; 0.5 marks for each correct cause)

According to ALS resuscitation council UK guidelines, list 2 adverse features, which are an indication for a synchronised direct cardioversion shock in an unstable adult with a tachycardia.

(maximum 1 mark; 0.5 marks for each correct adverse feature)

This is the patient’s 12-lead ECG.

After vagal manoeuvres are attempted, he is given 6mg adenosine intravenously whilst on continuous cardiac monitoring. On reassessing the patient, this has been no change to his heart rate and rhythm. According to ALS resuscitation council UK guidelines, which medication should now be given? Please state medication, dose, route and frequency.   (1 mark)