|
SVT/AFlutter & AFib - ben
|
08-07-2006, 05:59 AM
SVT
-HR -Steps of Mx in Stable Pt -Steps of Mx in Unstable Pt AFlutter -HR -Steps of Mx in Stable Pt -Steps of Mx in Unstable Pt AFib -HR -Steps of Mx in Stable Pt -Steps of Mx in Unstable Pt
08-07-2006, 05:32 PM
SVT...130-220HR...carotid massage....verapamil or adenosine...propranolol...esmolol..digitalis...cardioversion.
Aflutter...125-300....verapamil....digitalis...cardiovert. AF...Normal to tacchy....propranolo...anticoagulation...verapamil....digitalis....cardiovert.
08-07-2006, 07:39 PM
all of the above conditions,u will check whether the patient is stable or not:
By unstable i mean the pt is having systolic bp<90,shortness of breath or dizziness due to cardiac reason and it it is so then you straight away proceed to cardioversion If the pt is stable then u give in SVT - Adenosine and then digitalis,B blocker and calcium channel blocker In all the other cases you dont give adenosine,u just give B blocker,digitalis and Ca channel blockers. Lidocaine is only used in Ventricular problems. Anti coagulants are only given in AF if it is more than 2 days.
08-07-2006, 07:57 PM
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
08-08-2006, 10:18 AM
Why is coumadin used?It is used to prevent emboli formation.So coumadin is only used in Atrial fibrillation and that too if greater then 2 days.
|
| « Next Oldest | Next Newest » |
