Therapy for a patient with atrial flutter and a ventricular response of 150 bpm typically includes?

The recommended therapy for a patient with atrial flutter and a rapid ventricular response of 150 bpm typically involves a combination of medications and interventions aimed at controlling the heart rate and restoring normal rhythm. Amiodarone is an antiarrhythmic medication that can be used to help control the heart rate and potentially convert atrial flutter to normal sinus rhythm. Cardizem, or diltiazem, is a calcium channel blocker effective in rate control, particularly in rapid atrial fibrillation and atrial flutter scenarios. Additionally, cardioversion, whether chemical or electrical, may be indicated for immediate restoration of normal rhythm, especially if the patient is symptomatic or has hemodynamic instability.

The other options do not adequately address the need for immediate control of the heart rate and rhythm. Fibrinolytics primarily treat thrombotic events, which is not appropriate in the case of atrial flutter. Aspirin therapy is generally used for stroke prevention rather than rate or rhythm control. While beta-blockers can help control the heart rate, relying on them alone may not be sufficient for optimal management in a case like this where a multifaceted approach is often necessary.