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lunes, 2 de marzo de 2020

Unstable AF

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emDocs - March 2, 2020 - Authors: Blackmon M and Kester N
Reviewed by: Lentz S; Koyfman A; Long B
"Take Home Points
  • Don’t prematurely assume that the hypotension in your patient with a-fib is due to the arrhythmia. Do a thorough evaluation for other causes of shock before lowering the rate.
  • When cardioverting your unstable patient with a-fib, do it right the first time; start out at 200J and consider adding external pressure to the anterior pad.
  • Use push dose phenylephrine or a drip to stabilize the BP before trying to control the rate.
  • Consider Amiodarone or Esmolol as the drug of choice for rate control in the crashing patient with a-fib."