Post a comment or answer one of the questions below and not only help your peers, but get asynchronous credit! OK, here’s the case!
78 year-old woman with atrial fibrillation presents with chest pain; her HR is 145, ECG shows the rhythm is irregular. Her blood pressure is 90/50. Her baseline BP is unknown. I chose to cardiovert her with fentanyl and midazolam. She converted to sinus and her BP improved, but the patient developed hypoventilation, and we had to bag her for 5 minutes.
- What is your preferred treatment for this patient (details appreciated)?
- Is it based on evidence or personal experience? Which evidence?
- What do you do for the patient who does not respond to either a beta blocker or calcium channel blocker? Do you ever use them in sequence?