A-Fib/A-Flutter

Question 1

AmIODaron

Answer 1

First treatment;brings the HR Down
Can cardiovert them

Question 2

AmIODarone side effects:toxic thyroid

Answer 2

Is made of IODine, so it’s toxic to the Thyroid
Monitor TSH levels
0.5-5.0
T4
5.0-12.0
T3
100-200

Question 3

AmIODarone side effects:toxic lung

Answer 3

Pulmonary toxicity
PFT is needed
Thorough respiratory assessment
Monitor PaO2, ABGs,SpO2,SVO2(60-80)

Question 4

AmIODarone side effects: Toxic liver

Answer 4

Monitor
AST- 10-40
ALT- 7-56
Jaundice; increased Bili- 0.1-1

Question 5

Digoxin

Answer 5

Brings HR down
Digoxin toxicity—> levels should below 2
Halo vision, dizziness, blurred vision, low potassium—>should be above 3.5,N/V, Diarrhea

Question 6

Anticoagulant- Heparin

Answer 6

Heparin (monitor aPtt&ptt)
Therapeutic response should be 2x more than normal
aPTT—>30-40 (43)
Ptt—>60-70 (73)
protamine sulfate—>antidote

Question 7

Anticoagulant

Answer 7

Enoxaparin, Xarelto, apixaban

Question 8

Anticoagulant Warfarin

Answer 8

Vitamin K antidote
Watch diet/ no green leafy
Monitor pt/inr—> 2x than regular values
Pt: 11.0-12.5
INR: 0.8-1.1–>2 or 3 is expected

Question 9

Calcium Channel blockers

Answer 9

Slow HR down
Cardizem
Diltiazem

Question 10

Beta blockers—>RVR

Answer 10

Metoprolol; slows HR down

Question 11

If drugs aren’t working and pt become unstable, hemodynamic,

Answer 11

C/O is 2, CV
You will Cardiovert them