What do you think of phenylephrine as opposed to norepinephrine for shock with rapid afib. Sometimes I’m hesitant to give levo because I’m worried I’ll chronotrope the rate above 150
Great question, This specific patient, I’d, personally, lean more Norepi over phenylephrine given poor EF and respiratory distress. Phenylephrine makes me nervous in cardiogenic shock
What do you think of phenylephrine as opposed to norepinephrine for shock with rapid afib. Sometimes I’m hesitant to give levo because I’m worried I’ll chronotrope the rate above 150
Great question, This specific patient, I’d, personally, lean more Norepi over phenylephrine given poor EF and respiratory distress. Phenylephrine makes me nervous in cardiogenic shock
this could also be Afib with rvr due to pre excitation especially if LBBB pattern is new