Aashi
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CCB ----Ans D
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| robin082006
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THIS PATIENT HAS ATRIAL FLUTTER AND HYPERTENSION, SO VERAPAMIL TREATS BOTH
CAROTID MAY DECREASE BLOOD PRESSURE AND HEART RATE BUT I HAVE NOT EVER HEARD IT MAY STOP ATRIAL FLUTTER.
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| The-surgeon
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the next step in management is Rate control and Ca-channel blocker are the drugs used for this
management of atrial flutter are rate control and anticoagulation
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| usmle123
Forum Senior
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Hi, guys, thanks for the input. I really appreciate.
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| webjeee
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USMLE123, where is the q from?
In kaplan, the initial should be carotid massage, in Harrison's, its cardioversion.
CCB is right, but not the initial step.
I don't know why D.
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| sarika
Forum Guru
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cardioversion only when patient is unstable and when atrial flutter is newer in onset
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| webjeee
Forum Guru
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thank you sarika, but why not carotid massage as kaplan said?
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| hanialkhadher
Forum Elite
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webjee ,you have a point,the treatement for atrial flutter would be carotid massage according to the algorithm for treatement of tachycardias by A.H.A. but you cant keep her on carotid massage and if it will revert to sinus rythm AF will recur,AF is not easy to control.
Another point in the Q. it says MANAGEMENT AND THE POLICY in the non emergency setting is to go for the long term management.
LAST POINT FOR THE VALUE OF CAROTID MASSAGE WITH A.F. IT WILL UNCOVER THE SAWTOOTH WAVES ON THE EKG IF IT WAS NOT APPARENT SO IT HELP BUT NOT HERE.
I hope i helped.
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