Question

A 32-year-old man with a wide-complex tachycardia at 190/min is diaphoretic with BP 78/40 mm Hg and altered mental status. What is the next best step?

Accepted Answer

Synchronized cardioversion

Answer

Adenosine rapid IV push

Answer

Amiodarone 150 mg over 10 minutes

Answer

Magnesium sulfate 2 g IV

Answer

Perform carotid sinus massage

Practice question

A 32-year-old man with a wide-complex tachycardia at 190/min is diaphoretic with BP 78/40 mm Hg and altered mental status. What is the next best step?