Case 3
An 80-year-old female has presented to the ED with shortness of breath, mild chest pain and palpitations. She is fully orientated and alert. She is currently in the resuscitation room.
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Question 1 of 4
1. Question
The following observations can be seen on the monitor at her bedside (Click on the ECG showing ventricular tachycardia to enlarge).
- Pulse 200
- Blood pressure 80/55
- SaO2 90% on air
You decide that you need to perform synchronised DC cardioversion; your supervising consultant emergency physician is currently employed in minors.
Which answer best describes the most appropriate immediate management?
CorrectIncorrect -
Question 2 of 4
2. Question
The consultant attends and states that he wants to supervise you performing the sedation. A nurse will perform the cardioversion. You consider the risks of sedation in this particular lady.
Describe three features of this patient's presentation that may modify your sedation technique or choice of sedative agent.
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Question 3 of 4
3. Question
Many adverse events are common to several sedative agents. Which drug is most typically associated with the adverse effects described?
Select the relevant agent for each adverse effect.
Sort elements
- Midazolam
- Propofol
- Ketamine
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Increased sensitivity to dose with age resulting in increased depth of sedation
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Profound hypotension
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Tachycardia and hypertension resulting in increased myocardial oxygen demand
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Question 4 of 4
4. Question
You have decided to sedate this 80-year-old female with VT for DC cardioversion. Her pulse remains 200, BP 86/55 and her SaO2 is 98% on high flow oxygen.
What sedative agent are you going to administer?
Describe the dose, route, method of administration and one reason why you are going to use this particular agent.
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