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Review Question - QID 213597

Atrial Fibrillation QID: 213597 (M2.OMB.19.4873)
In scope icon M 7 B
QID 213597 (Type "213597" in App Search)
A 65-year-old man with a history of severe COPD presents to the emergency department with a sensation of fluttering in his chest. He states his symptoms started yesterday and have persisted to this morning. His temperature is 99.2°F (37.3°C), blood pressure is 130/85 mmHg, pulse is 125/min, respirations are 16/min, and oxygen saturation is 79% on room air. Physical exam is notable for an anxious appearing man with an irregular pulse and bilateral pulmonary wheezes with poor air movement. An ECG is performed as seen in Figure A. The patient is given dexamethasone, ipratropium, albuterol, and BIPAP and his oxygen saturation is 97%. Which of the following is the most appropriate treatment for this patient?
  • A
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  • A