Rate Control

[ Read more A-Fib* ]
  1. Cardizem
  2. Metoprolol
    1. 2.5 - 5 mg IV bolus over 2 mins; may repeat q5min to 15mg total.
       
  3. Amiodarone (pt with BP plus A-Fib)
  4. Digoxin (pt with BP plus A-Fib)
  5. Brevibloc -  load before titration
     
  6. Overdrive pacing

NOTE: Anti-coagulate for long-term A-fib & pt. with a-fib/flutter > 48 hr requiring emergent cardioversion