Undiagnosed A Fib w/ RVR Medication?

[SweetMelissaRN]

Had a 78 yr old pt come in today c/o SOB and being easily fatigued x 1 week. EKG showed A Fib w/ RVR. My ER doc ordered a cardizem drip. Pr tolerated well (no significant hypotension or decrease in CO). Pt did not convert and major change to heart rate.

My question is, what do your ER docs order for this and is there another medication that possibly could have possibly worked better? I suggested amiodarone and doc told me no, but never gave me a real answer as to why? The pt went up to ICU so I don't know if the medication was ever changed.

[LalaJJB]

Like everyone else said.