A 51-year-old male presents to the emergency room (ER) with an acute episode of chest pain. He has a history of atrial fibrillation. On examination, his blood pressure is 80/60 mmHg and his ventricular rate is approximately 160 beats/minute. He is in acute distress. His respiratory rate is 32 breaths/minute. His electrocardiogram (ECG) shows atrial fibrillation with a rapid ventricular response. with a rapid ventricular response. What should your first step in management be? a. digitalize the patient b. give the patient intravenous (IV) verapamil c. give the patient IV adenosine d. start synchronized cardioversion e. start rapid IV hydration
Posted on: Mon, 12 Jan 2015 06:00:21 +0000
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