Misc Q's

Question 1

what is the pharmocologic cardioversion dosing and rate for amiodarone in the setting of afib?

Answer 1

bolus 150mg over 10 mins and then 1.0 mg/min for 6 hours, THEN 300 mg bolus and 0.5 mg/min for 18 hrs
*transition to oral dosing when able

Question 2

what is the INR goal for a patient with A-Fib?

Answer 2

2-3 (treated with coumadin obviously)

Question 3

paroxysmal Afib vs persistent vs permanent

Answer 3

paroxysmal = less than 7 days (usually self terminates in 48 hours)
persistent = less than 1 year
permanent

Question 4

three reasons why postop a fib is not good

Answer 4

1) . increases hospital length of stay
2) . increase in hospital and long-term mortality
3) . increases hospital stroke risk

Question 5

post-op maintanence of NSR amio dosing

Answer 5

400 mg BID for 5 days (10 doses), and 200 mg daily

Question 6

rate and rhythm treatment of afib are equal except in two cirumstances that rhythm control is preferred

Answer 6

1). right sided HF
2). congestive heart failure
WANT RHYTHM