4.2 Antidysrhythmic agents Flashcards

1
Q

Cardiac dysrhythmias are…

A

A disturbance in
- Electrical impulse formation
- Electrical impulse conduction
- or both

causes abnormal rhythms of the heart

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2
Q

Antidysrhythmic agents are…

A

Drugs used for the treatment and prevention of disturbances in cardiac rhythm

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3
Q

The Vaughan Williams classification is based on what?

A

the effect produced by the agent on the ‘action potential’

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4
Q

Class 1 (a,b,c) include which kind of drugs?

A

Sodium channel blockers

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5
Q

Class II include which kind of drugs?

A

Beta-Blocking agents

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6
Q

Class III drugs include which kind of drugs?

A

Drugs which increase the action potential duration

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7
Q

Class IV drugs include which kind of drugs?

A

Calcium channel blockers

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8
Q

Quinidine and lidocaine are in which drug class?

A

Class I

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9
Q

Atenolol and Metoprolol are in which drug class?

A

Class II

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10
Q

Amiodarone is in which drug class?

A

Class III

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11
Q

Diltiazem is in which drug class?

A

Class IV

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12
Q

Atrial fibrillation, premature atrial contractions, premature ventricular contractions, ventricular tachycardia, and Wolff-Parkinson-White syndrome are the indications for which drug class?

A

Class Ia

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13
Q

ventricular dysrhythmias are the only indication for which drug class?

A

Class Ib

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14
Q

severe ventricular dysrhythmias, and occasionally in atrial fibrillation/flutter, are the indications for which drug class?

A

Class Ic

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15
Q

Which drug class contains general myocardial depressants for both supraventricular and ventricular dysrhythmias?

A

Class II

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16
Q

Class III drugs are used to treat…

A

Dysrhythmias that are difficult to treat
- Life-threatening ventricular tachycardia or fibrillation, atrial fibrillation or flutter—resistant to other drugs
- Sustained ventricular tachycardia

17
Q

Class IV drugs are used to treat…

A

paroxysmal supraventricular tachycardia; rate control for atrial fibrillation and flutter

18
Q

Side effects of antidysrhythmics include…

A

N&V
Diarrhea
Dizziness
Blurred vision
Headache

19
Q

Before administering any antidysrhythmics, what must be assessed?

A
  • Drug and medical history
  • Allergies and other contraindications
  • Baseline vitals, I&O, cardiac rhythm
  • Serum K+ levels
20
Q

During the treatment, what must be assessed?

A

Assess general well-being: skin colour, temperature, heart and breath sounds
SOB, edema, angina, dizziness

Assess serum drug levels
Monitor cardiac rhythm, HR, BP

21
Q

T/F antidysrhythmics can be crushed or chewed?

A

False, especially if they are sustained release

22
Q

Clients should report what symptoms to the nurse?

A

SOB
edema
GI distress
dizziness
syncope (signs of fluid overload/imbalance)

23
Q

Clients should report a weight gain of >__kg/__day or >___kg/__week just at the beginning

A

1kg/1 day

> 2kg/1 week

24
Q

What are some therapeutic effects of antidysrhythmics?

A

Decrease BP in hypertensive clients
Decreased edema
Decreased chest discomfort
Regular pulse rhythm and rate

Improved cardiac output
- Decreased fatigue
- Improved vital signs
- Improved urinary output
- Improved skin colour/turgor