DIABETES MELLITUS PART 2 OF PART 2

Question 1

What are the two classes of medications indicated for initial attempts at rate control in this patient?

Answer 1

Beta blockers

non-dihydropyridine calcium channel blockers: verapamil, diltiazem

Question 2

what is the goal heart rate when attempting to obtain rate control in atrial fibrillation?

Answer 2

80-100 (115) bpm

Question 3

what type of med should be started in anticipation of CV?

anti arrhythmic
calcium channel blocker
digoxin
anticoagulant

Answer 3

anticoagulant

Question 4

how long should this AC be started before the attempt at CV, if possible?

1 week
2 week
3 week
4 week
6 week

Answer 4

3 week

Question 5

how long should this AC be started after CV, if possible?

*in terms of weeks

Answer 5

4 weeks

Question 6

patient with persistent of permanent AF should be prescribed?

Answer 6

vitamin K antagonist, warfarin

factor Xa inhibitor, dabigatran

Question 7

a 40 year old previously healthy patient is in the ICU for severe sepsis. He has sudden onset of AF. HR 135, BP 84/58. ECG shows diffuse ST depression, what would be an appropriate first intervention?

amiodorone
beta blocker
ace inhibitor
electrical cardioversion

Answer 7

electrical cardioversion

Question 8

amiodarone is consistently more effective than?

Answer 8

dofetilide
flecainide
propafenone
sotalol
dronedarone