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Multiple Choice
In which situation should synchronized cardioversion be used?
A
Ventricular fibrillation
B
Pulseless ventricular tachycardia
C
Atrial fibrillation with rapid ventricular response
D
Asystole
Verified step by step guidance
1
Understand the concept of synchronized cardioversion: It is a medical procedure used to restore a normal heart rhythm in cases of certain types of abnormal heartbeats, particularly when the patient is hemodynamically unstable.
Identify the types of arrhythmias: Synchronized cardioversion is typically used for arrhythmias where the heart is still beating but in an irregular or rapid manner, such as atrial fibrillation with rapid ventricular response.
Differentiate between arrhythmias: Ventricular fibrillation and pulseless ventricular tachycardia are life-threatening arrhythmias that require immediate defibrillation, not synchronized cardioversion. Asystole, or flatline, is a state of no cardiac electrical activity and is not treated with cardioversion.
Recognize the appropriate use case: Synchronized cardioversion is indicated for atrial fibrillation with rapid ventricular response because the heart is still beating, albeit irregularly, and the procedure can help restore a normal rhythm.
Summarize the decision-making process: When faced with a patient experiencing atrial fibrillation with rapid ventricular response, synchronized cardioversion is the appropriate intervention to attempt to restore normal heart rhythm.