CASE STUDY 6.1
While caring for a 49-year-old post-bypass surgery patient, you respond to an alarm and find the patient blue and unresponsive. You observe ventricular tachycardia on the monitor.
You immediately place defibrillator patches on the patient’s chest; charge the unit; instruct everyone to stand clear; and deliver a counter-shock at 50 joules. You see no change and immediately increase the energy to 100 joules for the second shock. The patient begins to gasp, and assisted ventilation is begun. When you look at the monitor you see: