amiodarone/a-fib - page 2

by kgirl22

3,100 Views | 12 Comments

New nurse here. Question with treating A-Fib. If heart rate is high say greater than 120 and bp is low, SBP 80's. What would a typical tx be?... Read More


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    On a post op cabg, amiodarone is mostly going to be the drug of choice from my experience. If the patient is obviously unstable then cardioverting is necessary. As far as a dilt gtt, this is usually for rate control. Dilt does not typically convert the patient back to sinus rhythm like amio does.
    hodgieRN likes this.
  2. 0
    Quote from agil
    On a post op cabg, amiodarone is mostly going to be the drug of choice from my experience. If the patient is obviously unstable then cardioverting is necessary. As far as a dilt gtt, this is usually for rate control. Dilt does not typically convert the patient back to sinus rhythm like amio does.
    Not typically, but it can, just not as effective as amio.
  3. 1
    Quote from HCLong84
    We would commonly use amiodarone if patient was well filled, but first also check electrolyte levels sometimes just need some potassium and then heart rate improves.
    Hypomagnesemia is also common with A fib.

    A fib SP CABG--I have almost always seen amio in this instance. If the A fib is not secondary to open heart surgery, and is being managed by cardiology, it will usually be a dilt gtt. Although, if someone came into the ER with that pressure, new onset a fib, and it is belivied that pressure is due to the A fib, cardioversion (either chemical or electrical) remains an option.
    AnnersPSHMC likes this.


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