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Is the Patient Stable or Instable?
The first question you have to answer at the bedside, is the patient stable or unstable? Because that's going to immediately change your management in the le for he a few minutes. Medications like t jackson and soda law can be very good agents for rain githen control. The main it, the main goal is to get out of the rate control and icyou because ampressers are resfactor for developing atofibelation. But if patients were previously on a bata blocker or calcium chennel blocker and their stable, i might consider doing bata blockade first,. but maybe like a lower dose and try smaller, short acting iv doses.