drmomoshakeel
Region: CA
Wednesday 18 March 2026 21:42:51 GMT
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Cleo :
Are you putting them on a drip or x1 Metoprolol IV dose?
2026-03-19 01:35:11
1
user2446490481658 :
Genuine question; why is amiodarone the last choice for meds?
2026-03-18 22:23:18
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Themedschoolguide :
What are the rotations you have as an internal medicine resident and how did you choose your speciality :)
2026-03-18 22:26:51
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Jacqueline hall :
Is amioderon same as adenosine
2026-03-19 20:14:56
0
Kathleen Prendergast :
If triggered by anxiety, give Ativan
2026-03-18 21:58:07
0
mona :
Also what about Anticoagulation before the Shock? Is that a thing? Sorry if this is a dumb question
2026-03-18 23:05:10
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Elizabeth :
Diltiazem is much better than beta blockers.
2026-03-19 19:01:33
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Linda Wilson :
Thank you. Great study
2026-03-19 03:04:38
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ياقوت :
Do you have to check liver enzymes prior to giving amiodarone in this situation if you were to give it
2026-03-19 06:19:43
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icora :
We see it all the time, thanks for sharing , very good information, thanks
2026-03-19 03:54:53
1
username18374747474747373 :
when would you go with rhythm control rather than rate?
2026-03-18 22:59:01
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Jacqueline hall :
Or do they only use that for when they have super ventricular heart rhythm.
2026-03-19 20:15:34
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Riley Burgart :
Also good to keep in mind that digoxin is not fast acting and will take some time to work! They might sit there tachy for a little bit. Dilt IVP +/- an infusion is also quite effective for fast rate control as an alternative to metop
2026-03-19 01:42:04
1
Imarhiagbe D.N :
Amiodarone has very good rate and rhythm control. Usually A-Fib with RVR is dangerous because they have an increase risk of cardioembolic stroke. So usually the first thing in management is Anticoagulation
2026-03-20 01:22:50
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WonderWoman :
diltiazem for rate and amiodarone for rhythm, but you're right.....Amiodarone is a "dirty drug", not good at all for long term control.
2026-04-02 23:36:12
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BLAH :
I am currently studying for Step One but i came across a Tik Tok stating the 48 hour rule for AFib. If >48 hours begin anticoagulants and rate control (if hemodynamically stable). You need to check for thrombus in atrium prior to synchronized cardioversion. If 48 hours and follow treatment as mentioned above. Like I mentioned, saw this on another Tik Tok a few months ago, I don’t know if this is proper protocol. 😅
2026-04-26 03:49:06
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