Question

ashley is a 47 y/o female who comes to the clinic with a chief complaint of sudden onset of palpitations and a feeling of weakness and dizziness. additionally, she notes that she has dyspnea on exertion. on the physical exam the np notes that the hr is 120 bpm and her bp drops to 98/60. her ekg shows no discrete p waves and irregularly irregular rhythm. the primary pharmacological management for ashleys condition would be all of the following except: beta blockers calcium channel blockers digoxin ace inhibitors

Explanation:

Ashley likely has atrial fibrillation given her symptoms (palpitations, weakness, dizziness, dyspnea), elevated heart - rate, low blood pressure, and EKG findings. Beta - blockers, calcium channel blockers, and digoxin are used for rate control in atrial fibrillation. ACE inhibitors are used for blood pressure control and heart failure management, not for rate control in atrial fibrillation.

Answer:

D. ACE inhibitors