New AF Septic Shock — FRCA Final MCQ
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Correct answer: A — Amiodarone 300 mg IV over 1h
AF in septic shock: amiodarone provides rate control without significant negative inotropy or vasodilation — critical in patients on vasopressors. Beta-blockers/CCBs worsen hypotension. DC cardioversion reasonable but AF often recurs in sepsis.
Reference: RCUK – 2024 – Tachycardia; ICS – 2023 – Arrhythmias in critical care