A fib with rvr

[ksparks]

Ok so I had a pt go into AFIB in the middle of my shift. Hr was 12- 148. They had no previous history and was a DNR. I contacted the doctor and he told me to give 5mg lopressor IVP and start po Cardizem 30mg Q6 hrs.this did not change anything. I tried to page the doctor several times but he never clled back. The pt was asymptomatic. SBP was 105. Even before the tx. My charge nurse said I couldn't leave the patient ticking along at 130 and counseled me about not having g asked for a gtt or a cardiology consult. This was the pt primary MD so he knows the pt and I figured the dr knows what he wants so who am I to suggest anything. I wasnt that concerned as the pt was atable. Should I have been more concerned? Should I have done more. I documented that he never responded.

[ksparks]

It's a medical stepdown unit