A 63-year-old presents with acute chest pain and polymorphic VT torsades de pointes on monitor with pulse. Which medication and dose are appropriate f...

Question

A 63-year-old presents with acute chest pain and polymorphic VT torsades de pointes on monitor with pulse. Which medication and dose are appropriate first-line?

Accepted Answer

Magnesium sulfate 2 g IV over 5-60 minutes

Answer

Amiodarone 300 mg IV bolus

Answer

Adenosine 6 mg IV push

Answer

Diltiazem 20 mg IV bolus

Answer

Esmolol infusion

us-usmle-step-2 MCQ (SBA): Torsades de Pointes

A 63-year-old presents with acute chest pain and polymorphic VT torsades de pointes on monitor with pulse. Which medication and dose are appropriate first-line?