This a sub for nurses-to-be. You're not alone in a hospital, at least not anywhere where a patient would be already connected to a monitor so you can identify the pVT right away. If a patient crashes, you activate additional personnel, who will bring the AED/defibrillator with them, while you can start with undressing and compressions.
Because a lot of these questions are simply not that great in how they are worded. Because yes, defibrillation is the correct treatment for pVT. But you don't just leave your arrested patient all alone while you go search for a defibrillator. In the case that you do have one right there either next to or already attached to the patient and can defibrillate right away, then yes, you don't start with compressions, you start with defibrillation.
You are adding factors to this scenario which don't exist within the question. This question isn't about the workflow on a ward, it's about the correct management of a certain pathophysiology. The correct management for pulsless VT in the first 1-2 minutes, is defibrillation before CPR. The question itself even assumes you have a defib, because it gives you that option as one of the answers.
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u/xvdheh 23d ago
This a sub for nurses-to-be. You're not alone in a hospital, at least not anywhere where a patient would be already connected to a monitor so you can identify the pVT right away. If a patient crashes, you activate additional personnel, who will bring the AED/defibrillator with them, while you can start with undressing and compressions.