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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... Fadial @thame #Atrial ... #management #Rapid ... #Emergency #Cardiology
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Decompensated HF ... Anticoagulation #Atrial ... #Fibrillation #Cardiology ... #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... pulmonary disease or CHF ... pulmonary disease or CHF ... Tachycardia #Treatment #management ... #cardiology #algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... inhibitor; AF, atrial ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... prolong life and decrease ... #Management #Cardiology ... #CHF #Congestive ... Stages #ACCAHA #Algorithm
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... Increase by 5mA/ ... #differential #management ... #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... injury • Terrible triad ... fracture • ED Management ... recommendations MH/CCF ... Dislocation #Posterior #Radiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... V trials) • BUT ... medical and surgical management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf
Dilation of the azygos vein is a sign of increased right atrial pressure and is usually
azygos vein is a sign ... increased right atrial ... An increase of 3 ... #Clinical #Radiology ... #CXR #CHF #Azygous