Atrial Fibrillation Flashcards
1
Q
Which A-E does this affect?
A
Circulation
2
Q
Airway
A
3
Q
Breathing
A
Increased RR?
ABG lactate
4
Q
Circulation
A
Look for anaemia, diaphoresis
Listen S1,2 +0
Feel pulse (irregularly irregular and fast), apex beat undisplaced
HR: high
BP
Bloods: FBC, UEs, LFTs, CRP, troponin, d-dimer, cholesterol, lipids, glucose
Cannulas
ECG
Management:
- Synchronised DC shock at 200J up to 3 times (sedation prior)
- Amiodarone 300mg/ 20 min
- Re-attempt shock
Rate + rhythm control
Long-term anticoagulation should be with DOAC or warfarin
Scores: CHA2 DS2 VASc
HAS-BLED, ORBIT bleeding score risk is a better score for bleeding
5
Q
Anticoagulation in AF
A
6
Q
Acute AF
A
7
Q
NICE Guidelines
A
Γενικά, start anticoagulation with heparin stat and then asses for scores and switch to DOACs
