AFib with RVR

Question 1

METOPROLOL

AFIB w/RVR

Answer 1

5 mg IV q5m max of 15 mg (may start w/2.5 mg for old folks)

Question 2

AMIODARONE

AFIB w/RVR

Answer 2

7 mg/kg IV

Question 3

DIGOXIN

AFIB w/RVR

Answer 3

8-12 mcg/kg load (1/2 up fron then 1/4 q6-8h)

Question 4

MAGNESIUM

AFIB w/RVR

Answer 4

2.5 g over 20 min then 2.5 g over 2 hours

**Use/helps the other 4 w/effectiveness, NOT for mono therapy… ***Probably not going to be used at SAMMC

Question 5

DILTIAZEM

AFIB w/RVR

Answer 5

STD ACLS dose: 0.25mg/kg IV (20mg max) over 2 min, then 0.35mg/kg (25mg max) over 5 min

*realistically 10-20 mg IV to start then 20-25 mg IV after if not at goal, follow w/PO dosing if effective