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3 PHARM SELF > 47 clinical arrhymia > Flashcards

47 clinical arrhymia Flashcards

1
Q

What are the 4 non-pharmacological therapy for arrhythmia?

A

pacemaker
electrical defibrillation/cardiovresion
implantable cardioverter-defibrillator
catheter based or surgical ablation

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2
Q

What are the 2 most common cardia arrhythmias?

A

atrial fibrillation and atrial flutter

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3
Q

What are 2 general strategies for cardiac arrhythmia?

A

rhythm control and rate control

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4
Q

How do we elicit rate control?

A

slow ventricular rate by blocking AV node conduction; beta blocker, Ca blocker, digoxin, adenosine for diagnosis

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5
Q

How do we elect rhythm control?

A

electrical or chemical cardioversion/revent reoccurrence: amiodarone if heart disease

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6
Q

What is an extremely effective treatment for flutter?

A

ablation

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7
Q

In supraventricular tachycardia SVT: AV nodal reentry, how for we treat? 3

A

Acute= break reentry- Ca blocker adenosine
Prevent reoccurrence- Ca or beta blockers
Ablate slow pathway of AV node leaving fast path

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8
Q

What are the 5 treatment considerations for ventricular tachycardia?

A

break acute- lidocaine, amiodarone, electrical cardioversion
prevent occurrence- beta blocker
prevent reoccurrence- beta blockers, amiodarone, sotalol
Ablation-
impantable cardioverter- defibrillator

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9
Q

What are the 4 treatment considerations for V fib treatment?

A

break acute- electrical defib, amiodarone
prevent occurrence- beta-blockers
prevent reoccurrence- amiodarone, stall
Implantable cardioverter- defibrillator

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10
Q

What is caused by conditions that prolong QT interval?

A

Torsades de Pointes

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11
Q

What are the 4 considerations for treatment of torsades de points?

A
  • break acute- defib, lidocaine
  • prevent occurrence- stop agents causing long QT
  • Prevent reoccurrence- mag sulfate, isoproterenol, or pacemaker
  • implantable cardioverter-defibrillator
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12
Q

What should we use for heart failure?

A

ACEI/ARB, beta blocker, nitrate/hydralazine

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13
Q

What should we use for angina

A

beta blocker, nitrates, Ca channel blocker

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14
Q

What should we use for A fib/ flutter?

A

beta blocker, diltiazem, verapamil

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15
Q

What should we use for bradycardia or conduction disease?

A

avoid beta blocker, diltiazem verapamil

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16
Q

What should we use for an athlete?

A

use ACEI/ARB or Ca blocker, avoid beta blocker, diltiazem, verapamil

17
Q

What should we use in diabetes?

A

ACEI

18
Q

What should we use for volume or Na dependent?

A

diuretic

3 PHARM SELF (13 decks)

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