24th April 2024

You are responding to an emergency crash bleep from the foundation year one doctor.

You are responding to an emergency crash bleep from the foundation year one doctor. She has been unable to contact the surgical registrar, who is busy in theatre, but is concerned about her patient, a 48-year-old woman who is two days post-operative after surgical drainage of an infected groin abscess. She had been mobilising with crutches off the ward but felt dizzy on return and collapsed near her bed. She is a person who injects drugs and is on medication assisted treatment with methadone, which she is collecting daily from a local pharmacy. You receive a handover from the ward sister, including a list of the patient’s current medications, which includes amoxicillin and clarithromycin, to cover for atypical chest infection. You proceed to resuscitation using a systematic airway breathing circulation approach. Cardiac monitoring attached shows a polymorphic ventricular tachycardia. Which of the following medications may be useful in the management of this? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.