Afib with rvr amiodarone
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Comparing AFib and AFib with RVR. Though atrial fibrillation and AFib with RVR share the same irregular heartbeat, they are distinct in their manifestations. While atrial fibrillation is marked by the atria quivering or fibrillating, atrial fibrillation with rapid ventricular response is a subtype of this condition which signifies a rapid heart
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Second question is what would be contraindications to using a diltiazem drip for treatment of the initial afib rvr? amiodarone drip the first
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Amiodarone can still lead to hypotension initially, especially when bolused; Afib with RVR is unlikely to be the cause of hypotension alone
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What is Afib with RVR? Some cases of Afib involve atrial fibrillation with rapid ventricular response (RVR). This is when the rapid contractions of the atria
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If resolves, start PO of metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min. Unstable atrial fibrillation with rapid ventricular response (unstable Afib with RVR): proceed directly to synched cardioversion; Chest Pain/Acute Coronary Syndrome
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metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min.
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2024. TLDR. Prehospital diltiazem administration for AFIB with RVR is safe and Amiodarone appears to be safe and effective in the termination of atrial
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Diltiazem vs Metoprolol for Afib w/ RVR? via @EMSwami FOAMed.
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Amiodarone can be used for both rate and rhythm control in AF. That is, it may slow the rate and/or convert afib to NSR. To slow afib with RVR
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Keep them coming 😊
BTW. Standalone CHF taking down an otherwise healty person like that??? No afib, no obesity, no alcoholism, no bundle blockage or left side failure??
Thank you for sharing this with us.
First, the comment:
Title: Risk Versus Reward is marginalizing abuse
Comments:
The behavior of Doctor Moreau goes against everything that the bdsm symbolizes. The basis for all d/s relationships is trust and respect. Moreau ignores this completly and abuses her position. There is no redemption for this.
If you're somehow trying to repair the relationship between her and the MC than you're actively perpetuating the normalization of domestic abuse. The only place where Dr Moreau should is a prison.
My reply:
Many authors write stories that feature villains. This does not mean that the authors agree with the actions of these villains. If you need proof, the ebook of RvR is available in its entirety on my web site (see my profile for URL and username/password.) Please feel free to skip ahead to the epilogue to discover Doctor Moreau's fate.