A 50-year-old man develops torsades de pointes on ICU. He has a prolonged QTc of 580 ms. He becomes pulseless. CPR is commenced and the first shock is...

Question

A 50-year-old man develops torsades de pointes on ICU. He has a prolonged QTc of 580 ms. He becomes pulseless. CPR is commenced and the first shock is delivered. What specific drug should be administered?

Accepted Answer

IV magnesium sulphate 2 g (8 mmol) IV over 10 minutes

Answer

IV amiodarone 300 mg

Answer

IV adenosine 12 mg

Answer

IV calcium gluconate 10 mL of 10%

Answer

IV procainamide 1 g

uk-fficm MCQ (SBA): Torsades de Pointes

A 50-year-old man develops torsades de pointes on ICU. He has a prolonged QTc of 580 ms. He becomes pulseless. CPR is commenced and the first shock is delivered. What specific drug should be administered?