conversion with verapamil?

[paraloco]

trying to control the rate. had no clue I would 'fix' him. Before I pushed it, he had chest pain 8/10, was hypertensive. all that resolved. It was instantaneous, too.

[Kaisu]

trying to control the rate. had no clue I would 'fix' him. Before I pushed it, he had chest pain 8/10, was hypertensive. all that resolved. It was instantaneous, too.

Then that ED doc had no business giving you the business.... patient was symptomatic - that would be our protocol too...

[Arizonaffcep]

Then that ED doc had no business giving you the business.... patient was symptomatic - that would be our protocol too...

Not sure if that would qualify as symptomatic. Paraloco-trying to control the rate because-worry about inadequate fill time? If that's the case, Pt would be hypOtensive, not hypERtensive. Of course, if they're at 200 and hypertensive...it won't last long. Cardizem (Diltiazem)=great drug. Just be careful pushing it with other meds...ie beta blockers...etc.

[Kaisu]

Not sure if that would qualify as symptomatic. Paraloco-trying to control the rate because-worry about inadequate fill time? If that's the case, Pt would be hypOtensive, not hypERtensive. Of course, if they're at 200 and hypertensive...it won't last long. Cardizem (Diltiazem)=great drug. Just be careful pushing it with other meds...ie beta blockers...etc.

You are correct about the BP - I was looking at 8/10 chest pain... which with uncontrolled aflutter I would consider ischemic chest pain... hence symptomatic.....