Case Study 3:
Mrs. Jones is a 74-year-old patient with a long history of coronary artery disease, diabetes mellitus Type 2, and cigarette smoking. She is in your unit recovering from a myocardial infarction and awaiting coronary artery bypass graft surgery. You, as her nurse, respond to the ECG alarm and note the following rhythm:
1. What rhythm is Mrs. Jones' monitor displaying?
Junctional
Asystole
Fine ventricular fibrillation
Bradycardia
2. What is the initial intervention for this rhythm?
Assess the patient; confirm the rhythm in another lead; begin CPR
Assess the patient; defibrillate with monophasic or biphasic equivalent
Assess the patient; synchronize cardiovert with monophasic or biphasic equivalent
Assess the patient; administer lidocaine 1 mg/kg IV push
3. Mrs. Jones has no pulse and is unresponsive. Which of the following interventions is
Lidocaine, 1 mg/kg IV/IO
Atropine, 0.4 mg IV/IO
Epinephrine, 1 mg IV/IO
