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Patient Case CC: Atrial Fibrillation with Rapid Ventricular Response, Rate Control - #MEDIGRAM

Welcome to the #MEDIGRAM Patient Case: Chief Compliant Series. Short, concise patient cases to foster thought-provoking questions and to challenge you to ask questions! Make sure to by at the end of the week for explanations for the correct/incorrect answers.

 

Patient Case CC: Atrial Fibrillation with Rapid Ventricular Response, Rate Control - #MEDIGRAM

 

💉 Patient Case CC: Atrial Fibrillation with Rapid Ventricular Response, Rate Control - #MEDIGRAM


61F (NKMA) presents in atrial fibrillation with rapid ventricular response. PMH: HTN, CKD II, T2DM. Acute kidney injury; SCr 2.5, baseline ~1. Symptoms x 7 days. HR remains > 110 bpm after receiving metoprolol 5 mg IV x 3 doses, MgSO4 4 gm IV x 1. Which of the following can be given for additional rate control?


Which of the following can be given for additional rate control?

  • Amiodarone

  • Lidocaine

  • Digoxin

  • Procainamide


 

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