Added: 2 years ago
From: josephmedman
Views: 8,761
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  • SOME BODY PLS TELL WHICH IS THIS BOOK MTB2 OR 3

    

  • It's NOT spontaneous cardioversion if you use drugs. Spontaneous means, it happenned out of the clear blue with no known influence.

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  • @Hosanaime please source where you are getting this standard from. I always learned that "dead people don't breathe" so if the patient has no pulse what good is CPR going to do? I will double check this but if you find a source, please add it if it says what you are saying and I will make changes accordingly. Thanks

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  • Its written there under stable.patients you use beta.blockers or calcium.ch. blockers if the patient is stable. Amiodarone is.not first line at all unless the patient has a history of heart failure. The whole first column and first few minutes.of the algorithm isbtalking about medications in rate control what do you mean?

  • what about pharmacological rhythm control (Amiodarone etc)??? when does it play role in management in this algorithm?!!?

  • There is a mistake. If the patient is asthmatic, beta blockers are not the first line of therapy. They can exacerbate the asthma.

  • hmmm, just wanted to double check on something you said at 1:44, if a patient is asthmatic they are usually not given beta blockers (contraindication)

  • @Ana8Lisa you're right, beta blockers are contraindicated in asthmatic patients because they cause bronchospasms. Calcium channel blockers are the first choice.

  • why u did not use medication for cardiovesion!?

  • of course i did..that is what is written and said in the first column to slow the rate down to 100 you use meds such as beta blockers and ca channel blockers to slow rate to <100..please listen again..

  • @josephmedman no sorry i heard that ! but i ment medication for conversion like Procainamide Amiodarone etc ?

  • At 0:39 you said the normal heart rate is (220-age); however this is actually the formula for maximum heart rate (the so called "Fox & Haskell formula").

  • yes he meant maximum normal more that than could be A fib.

  • you are absolutely right..sorry about that..it wil lbe revised this weekend..

  • @josephmedman Hi Joe, thanks for replying, but its still unclear: Amiodarone is a pharmacological cardioversion agent, we use electrical cardioversion when the patient is unstable, my question is, when do we use Amiodarone then? where does Amiodarone fall in the algorithm? it cant fall with b-blockers or ca blockers since Amiodarone is NOT a rate control agent like those drugs, rather, its a rhythm control agent (i.e. cardioverter)

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