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</td></tr></table>WikiSysophttps://pedsanesthesia.net/wiki/index.php?title=TYK105&diff=304&oldid=prevmetawikimedia>DrBobGreenberg at 19:36, 12 June 20152015-06-12T19:36:59Z<p></p>
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A 9-year-old patient with known familial dilated cardiomyopathy is in the PICU receiving a milrinone infusion and awaiting a heart transplant. Suddenly she becomes unresponsive and is found to be pulseless. The following rhythm strip is seen:<br />
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[[image:TYK105.png|none]] <br />
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Which of the following is the BEST next step?<br />
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a) Epinephrine 1:10,000 dilution, 10mcg/kg IV<br />
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b) Synchronized cardioversion at 0.5 J/kg<br />
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c) Defibrillation at 2 J/kg<br />
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d) Defibrillation at 4 J/kg<br />
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e) Synchronized cardioversion at 1 J/kg<br />
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<div class="mw-customtoggle-TYK_Answer" style="text-align: right; color:#0000ff">Click for Answer</div><br />
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==Answer==<br />
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Answer C.<br />
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The immediate treatment for pulseless ventricular fibrillation is defibrillation with an initial 2 J/kg. Importantly, CPR should also be initiated pending availability/arrival of a cardiac defibrillator and should continue until the device is charged and ready to shock.<br />
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==Notes==<br />
<references /><br />
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:This question originally printed in the [http://www.amazon.com/Justin-L.-Lockman/e/B00FLG5AEE/ref=ntt_dp_epwbk_0 Pediatric Anesthesiology Review Topics] kindle book series, and appears courtesy of Naerthwyn Press, LLC.<br />
==Keywords==<br />
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