MEDICINE
CARDIOLOGY
|
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
|
Your patient is apenic and pulseless. Your ECG reveals a mobitz 2 av block at a rate of 40. You should:
|
|
Administer atropine
|
|
|
Perform transcutaneous pacing
|
|
|
Perform defibrillation
|
|
|
Administer Epinephrine
|
Explanation:
Detailed explanation-1: -Treatment for a Mobitz type II involves initiating pacing as soon as this rhythm is identified. Type II blocks imply structural damage to the AV conduction system. This rhythm often deteriorates into complete heart block. These patients require transvenous pacing until a permanent pacemaker is placed.
Detailed explanation-2: -Mobitz type II is a type of 2nd degree atrioventricular block, which refers to a cardiac arrhythmia that reflects a conduction block at the atrioventricular (AV) node. On an ECG, Mobitz type II can be identified by the presence of intermittent, non-conducted P waves without progressive prolongation of the PR interval.
There is 1 question to complete.