Discuss with cardiology it's for Scott powell 946786 suggests admission to control rate with stat 2.5 bisoprolol followed by further stat of 2.5 bisoprolol in 2 hours if rate not controlled full stop <\n\n> If rate not controlled following this to load on digoxin 500 + 500 and then a hundred and 25 mg per day tomorrow full stop for cardiology review in the morning