Question

A 72-year-old with atrial fibrillation and rapid ventricular response (BP 78/46 mm Hg, altered mentation) presents to the ED. What is the immediate management?

Accepted Answer

Synchronized electrical cardioversion

Answer

IV digoxin loading

Answer

IV diltiazem bolus

Answer

IV amiodarone infusion first

Answer

Vagal maneuvers

Practice question

A 72-year-old with atrial fibrillation and rapid ventricular response (BP 78/46 mm Hg, altered mentation) presents to the ED. What is the immediate management?