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Atrial Fibrillation (most common)irregular and indiscernable P waves
Management:> Usually converts to Normal Sinus Rhythm without TX in 24 hours> If still abnormal in 48 hours: CARDIOVERSION> Cardioverting Meds: Adenosine, Quinidine, Amiodarone, Procainamide> Anticoagulant
Atrial FlutterSawtooth P waves
Management:> Same A Fib meds> If stable and no cardioversion:Ca Blockers (Diltiazem) or Verapamil (Calan), Beta Blockers, Digoxin to decrease AV node rate
Ventricular Fibrillation
Management:1. Defibrillate, then CPR in between2. Epinephrine after failure of first shock3. Amiodarone if resistant to treatment (also used in V tach)4. Amiodarone + Lidocaine prevents second episode
Management used for Chest Pain upon arrival in ED
1. Oxygen2. Aspirin3. NTG4. Morphine5. Heads up
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