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Diltiazem in atrial fibrillation with a rapid ventricular response #emergencycondition #newgradernurse #emergencynurses #ernursing #emergencydepartment #ernursingtip #emergencynurse #ernurses
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Atrial Fibrillation (AFib) Management: The ABCD Approach 🔄❤️ A: Anticoagulate Start with stroke risk assessment (CHA₂DS₂-VASc). DOACs are first-line. B: Beta-Blockers First-choice for rate control. Improves symptoms and exercise tolerance. C: Cardiovert / CCB · Cardiovert for symptomatic/acute cases (electrical or pharmacologic). · CCB (diltiazem/verapamil) when beta-blockers aren’t ideal. Catheter ablation is now Class I for symptomatic AFib. D: Digoxin Consider in refractory cases, HFrEF, or
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Afib with RVR atria are quivering, ventricles are going way too fast. That means poor filling, poor perfusion, low blood pressure. We treat it by slowing the rate — think beta blockers, diltiazem, or amiodarone. If unstable? That’s a shock situation.
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