Case 2
A 65-year-old woman presents with a broad complex tachycardia. She describes sudden onset of shortness of breath and malaise about one hour ago and has vague chest discomfort.
HR 140, BP 89/50, sats 98% on high flow oxygen.
She weighs 110kg, with a BMI of 35. Your ECG interpretation is VT.
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Question 1 of 3
1. Question
Is procedural sedation with propofol appropriate?
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Question 2 of 3
2. Question
Should you elect to sedate, what precautions beyond the routine might you take in this case?
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Question 3 of 3
3. Question
You decide to sedate her using propofol, and after three 20 mg boluses she cardioverts with the first shock. You then notice fluid seeping from the side of her mouth!
What should you do now?
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