Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Cardio Therapeutics > AADs > Flashcards

AADs Flashcards

1
Q

Class 1A: AAD

A

-Quinidine
-Procainamide
-Disopyramide

(DQP)

*All primarily Na blockers, some K blocking

*FOR supra ventricular and ventricular

= DQP VNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Quinidine

A

AE:
-Cinchonism (ND, dizzy, HA, tinnitus, visual, diarrhea)
-Hemolytic anemia
-QTP, TDP
-Thrombocytopenia

DDI:
-Warfarin
-Digoxin
-Pheno, pheny, rifampin
-Class 3 AAD
-Propafenone, flecainide
-BB, verapamil

*can produce beta receptor blockade and vaginal inhibition

=Quin is a QT goes to the PDW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Procainamide

A

IV
-15-18 mg/kg (max 25) LD, 1-4 mg/min MD

AE:
-Hypotension
-Lupus, BMS
-QTP, TDP
-GI, nausea, fever

DDI:
-Cimetidine, ranitidine
-Trimethoprim
-Class 3 AADs
-Diuretics

*NEGATIVE INOTROPE
*Monitor PA and NAPA (4-8, 4-10)

= she plays PRO at = QT BG NHL DIRTC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Disopyramide

A

Dose range: 300-1200
-decrease if CHF, HI, RI
-d/c if qrs/qtc increases by 25% or if heart block occurs

AE:
-Anticholinergic
-Hypotension
-Heart failure
-Proarrhythmia = TDP

DDI:
-Pheny, pheno, rif
-Class Ia, Ic, III
-Erythromycin
-Diuretics
-Digoxin
-Tricyclic AD

PAHH PGP TEDD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Class 1B: AAD

A

-Lidocaine
-Mexiletine

Primarily Na blocker

FOR VENTRICULAR arrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lidocaine

A

LD 1-1.5 mg/kg
MD 1-4 mg/min

AE:
-CNS
= 5+: confusion, dizzy, vertigo, numb, tinnitus
= 9+: psychosis, seizure, sinus arrest, heart block

DDI:
-Cimetidine
-Pheny, pheno, rif
-BB

B CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Mexiletine

A

600-1200 mg/day

AE:
-CNS (tremor)
-Proarrhythmias
-GI upset
-Thrombocytopenia

DDI:
-Cimetidine
-PPR

PACC G to mex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Class 1C: ADD

A

-Flecainide
-Propafenone

Primarily Na blocker
-QRS/QT/PR widens

FOR supra ventricular and ventricular
(rarely for ventricular tho)

BOTH CI IN STRUCTURAL HEART DISEASE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Flecainide

A

200-400 mg/day

AE:
-Proarrhythmia
-CHF new/worsening
-Heart block
-CNS: bv, diz
-GI upset: NV

DDI:
-Amiodarone
-Cimetidine
-Digoxin
-BB, CCB (VD)

CI: structural HD

FLEX CCC DABAGS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Propafenone

A

300-900 mg/day

FOR maintain SR in SVT Arr (AF)

AE:
-Proarrhythmia
-CHF worsens
-Bronchospasm
-CNS
-GI, metallic taste

DDI:
-Digoxin
-Warfarin
-Cimetidine
-Cyclo, theo, BB
-PPR

CI: structural HD and asthma/COPD

none CAB to GMC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Class 2: AAD

A

Beta blockers
-Atenolol, metoprolol, esmolol

FOR terminating re-entrant and ventricular rate control in AF

AE:
-Brady, hypo, AV block
-CHF worsening
-CNS, GI
-Bronchospasm, dsyp
-Hypo/hyperglycemia, lipid

DDI:
-Cimetidine
-Verapamil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Esmolol Specific Indication

A

Also used to control wall stress in acute aortic dissection

LD 500 mcg/kg
MD 50 mcg/kg/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

C3: Amiodarone

A

-FOR VT, VF, AF, AF1, sinus rhythm maintaining

AE:
-TDP
-Pulmonary fibrosis
-Thyroid
-Per neuropathy
-High LFTs
-Corneal microdeposits
-Macular degen
-Skin discoloration
-Phlebitis
-Hepatitis

DDI:
-Thiazide, mycin, zole TCAD
-Phenytoin
-Warfarin
-Digoxin

Caution: Iodine allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dofetilide

A

Class 3
-FOR AF/1 conversion to sinus rhythm and maintaining

CRCL DOSING
-20-60, dose is 125-500

AE:
-HA, dizzy, nausea, flu
-Tachycardia, TDP, VF, QTP, AV block

DDI:
-Verapamil
-Cimetidine
-Megestrol
-Trime, azole, prochloro

Avoid in QTc 440+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ibutilide

A

Class 3
-FOR AF/1 conversion to SR

AE:
-Every arrhythmia
-AV block
-HA, NV, hypotension

Avoid in QTc 440+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dronedarone

A

Class 3
-FOR AF/1, maintain SR, reduce ventricular rate

AE:
-NVD, rash, QTc, liver injury, asthenia

Less ae than amiodarone but less effective

DONT use in permanent AF/1

DONT use in Brady (HR < 50), QTc 500+, or 2/3 heart block

CI (QB has AB)

17
Q

Sotalol

A

Class 3
-FOR AF/1, VT

AE:
-Fatigue, dep, Brady, NVD, QTP, TDP, broncospasm

DDI:
-Diuretics
-Verapamil, diltiazem
-Amiodarone
-Phenothiazines

18
Q

Class 4: AAD

A

-Diltiazem
-Verapamil

FOR automatic or reentrant tachy from SA/AV nodes
and
terminating arrthymias and controlling VR in AF

19
Q

Class 4: AE

A

-Brady, AVB, hypotension, dizzy, HA, lethargy, GI

Dilt; edema

Vera; proarrhythmias

20
Q

Class 4: DDI

A

Diltiazem
-Propranolol, nitrates, statins (SAL)

Verapamil
-Statins, digoxin, PPR

21
Q

Adenosine

A

Max 30 mg, 20-30 ml saline flush must be given right after

AE: HA, dysp, flushing, asystole, broncho

DDI: Theo, caffeine, dipyridamide

1st line for:
-Terminating PSVT
-AV nodal reentry
-Concealed accessory pathway

CATA

22
Q

Digoxin

A

AE: GI, neuro, cardiac, blood
-arrhythmias, cog, vision

DDI: PGP, verapamil, quinidine, amiodarone, propa, flecainide

Reserved for VR control in AF pts with low EF or HF or when other agents maxed

Cardio Therapeutics (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions