Professional Soldiers ® - View Single Post

NurseTim · 06-13-2013, 17:53

Cardioversion would be no bueno if she has been in afib for >24 hrs due to possibility of loosening a clot in the right atrial appendage. But she is symptomatic. There is a list of criteria for thrombolytic therapy that I don't recall off the top of my head.

I agree with Trapper John. If possible, TEE just prior to cardioversion to ensure no thrombus in the appendage.

Her ventricular rate is tachy so I don't think I'd give atropine.

06-13-2013, 17:53	#19
NurseTim Guerrilla Chief Join Date: Feb 2011 Location: NM Posts: 525	Cardioversion would be no bueno if she has been in afib for >24 hrs due to possibility of loosening a clot in the right atrial appendage. But she is symptomatic. There is a list of criteria for thrombolytic therapy that I don't recall off the top of my head. I agree with Trapper John. If possible, TEE just prior to cardioversion to ensure no thrombus in the appendage. Her ventricular rate is tachy so I don't think I'd give atropine. Last edited by NurseTim; 06-13-2013 at 17:56.
NurseTim is offline