Scenario: A 70-year-old male is found unresponsive with no pulse.

Initial Assessment:

• Responsiveness: Unresponsive
• Breathing: Apneic (not breathing)
• Pulse: No pulse palpated

Actions:

1. Begin CPR: Start chest compressions and ventilation.
2. Attach Monitor/Defibrillator: Rhythm shows ventricular fibrillation (VF).
3. Defibrillation: Deliver one shock.
4. Post-Shock CPR: Continue CPR for 2 minutes.
5. Rhythm Check: Rhythm remains VF.

Questions:

1. What medication should be administered next?

   • a) Adenosine
   • b) Epinephrine
   • c) Amiodarone
   • d) Magnesium sulfate

2. What is the correct dose and route of administration for epinephrine in this scenario?

   • a) 0.5 mg IV push
   • b) 1 mg IV push repeated every 3-5 minutes
   • c) 2 mg IV push
   • d) 5 mg IV push

3. What are the potential side effects of epinephrine?

   • a) Bradycardia and hypotension
   • b) Headache and nausea
   • c) Tachycardia, hypertension, and anxiety
   • d) All of the above