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+--- Thread: Could anyone tell me where I am rite and wrong - ben (/showthread.php?tid=108393)
Could anyone tell me where I am rite and wrong - ben - ArchivalUser - 08-08-2006
so svarma u are saying
All Pt w/ SVT/Aflutter or AFIb that are unstable = cadioversion
Now the question is: In stable Pt is it acute or chronic?
Pt w/ Stable SVT acute = vagal m and if unsucc adenosine
Pt w Stable SVT chronic = coumadin, vagal m then adenosine???
Pt w/ Stable and Acute A flutter = Amiodarone/proc or Ibultilide
Pt w/ Satbe and Chronic A Flutter (>2 days) = Dig and Coumadine then CCB/BB or
Pt w/ stable and acute ot chronic AFIb same protocol as Flutter
Please make corrections
0 - ArchivalUser - 08-08-2006
hey ben
acute SVT = vagal manuvers then adenosine then digoxin or CCB or Beta blockers
chronic SVT = same as above
acute atrial flutter = adenosine then digoxin or CCB or Beta blocker
chronic atrial flutter = same protocol as above + coumadine then procainamide or amiodarone then cardioversion under coumadine cover
in all the above go to the nxt step only if the prev dosent produce normal sinus rhythm
let me knw if me correct???
0 - ArchivalUser - 08-09-2006
..........