A patient with atrial flutter is admitted to the unit and remains in atrial flutter for 24 hours. Which drug does the nurse anticipate will be given to attempt conversion to sinus rhythm?
a. Ibutilide (Covert)
b. Warfarin (Coumadin)
c. Verapamil (Calan)
d. Diltiazem (Cardizem)
ANS: A
Ibutilide (Covert) is the drug of choice for pharmacologic conversion from atrial flutter to sinus rhythm.
If the patient stayed in atrial flutter, warfarin would be instituted to reduce the risk of stroke.
Verapamil and diltiazem might be given to control the ventricular rate if the patient remained in atrial flutter.
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