Question

A 76-year-old with new diagnosis of atrial fibrillation and dyspnea has BP 85/55 mmHg, cool extremities, altered mentation. What is the immediate management?

Accepted Answer

Synchronized electrical cardioversion

Answer

IV amiodarone loading dose

Answer

Digoxin IV bolus

Answer

IV diltiazem bolus

Answer

Heparin bolus then cardioversion later

Practice question

A 76-year-old with new diagnosis of atrial fibrillation and dyspnea has BP 85/55 mmHg, cool extremities, altered mentation. What is the immediate management?