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Anti-arrhythmic Flashcards

1
Q

2nd line tx ATRIAL and VENTRICULAR

A

Class IA

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2
Q

Lupus-like Syndrome

A

Procainamide

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3
Q

SE tremor

A

Class IB

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4
Q

IV only IB

A

Lidocaine

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5
Q

Rapid recovery

A

Class IB

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6
Q

Slow recovery

A

Class IC

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7
Q

2nd line VENTRICULAR

A

Class IB

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8
Q

SE nystagmus, confusion, seizures

A

Lidocaine

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9
Q

Lidocaine analog

A

Mexiletine

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10
Q

2nd line ATRIAL (if LV is good)

A

Class IC

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11
Q

POST-MI

A

Class II

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12
Q

rate control: A-fib, A-flutter

A

Class II

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13
Q

Atrial and Ventricular

A

Class III

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14
Q

rate control: atrial arrhythmias

A

Class IV

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15
Q

rate control: atrial arrhythmias, inotropic

A

Digoxin

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16
Q

ACUTE Atrial

A

Adenosine

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17
Q

Route of Adenosine

A

IV

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18
Q

SE: corneal deposits, photosensitivity, liver toxicity, pulmonary fibrosis SE

A

Amiodarone

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19
Q

SE: Cinchonism (headache, tinnitus)

A

Quinidine

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20
Q

depressed LV function

A

Class IC

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21
Q

Hypotension and Fluid retention on outset

A

Carvedilol

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22
Q

B-blocker, drug induced lupus

A

acebutolol

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23
Q

Torsades

A

Class IA and Class III

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24
Q

B-blocker less CNS effects

A

Atenolol

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25
Q

Hypotension w/ reflex tachycardia

A

Class IV

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26
Q

SE: A-fib

A

Adenosine

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27
Q

SE: Heart block

A

Digoxin and Class IV

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28
Q

SE: AV block

A

Flecainide (Class IC)

29
Q

Verapamil SE

A

constipation

30
Q

K+ channel blocker and B-blocker

31
Q

exacerbates hypoglycemia in DM

A

B-blockers

32
Q

HT emergencies

A

Carvedilol

33
Q

Chronic atrial tachycardias

A

Propafenone

34
Q

Propafenone SE

A

Torsades, B-blocker properties: bronchospasm, myocardial suppression, careful in DM

35
Q

Exercise Induced Angina

A

Metoprolol

36
Q

Vasospastic Angina

A

Nifedipine

37
Q

Tx: 2nd line chronic SVT

38
Q

Atrial arrhythmia, NO STRUCTURAL heart disease

A

Flecainide

39
Q

Tx: Chronic atrial tachyarrhythmias

A

Propafenone

40
Q

Rebound syndromes with abrupt discontinuation

A

B-Blockers

41
Q

Tx: 1st line acute and chronic atrial and ventricular arrhythmias!

A

Amioidarone!

42
Q

SE: blue-gray skin discoloration

A

Amioidarone!

43
Q

Tx: Chronic management of atrial arrhythmias

44
Q

-ilide

A

Class III K channel blockers only

45
Q

ibutilide

A

ACUTE atrial arrhythmias

46
Q

dofetilide

A

CHRONIC atrial arrhythmias

47
Q

SVT tx

A

Class IV (CCBs)

48
Q

Diltiazem better than Verapemil in that it doesn’t have…

A

reflex tachycardia

49
Q

ACh sensitive K+ channels

50
Q

Digoxin SE: bradycardia, SA node arrest, heart block

A

Atropine!, K+ and pacemaker

51
Q

Digoxin SE: PVC of ventricular arrhythmia

52
Q

Tx: Chronic, stable angina

A

Ranolazine

53
Q

Ranolazine may also help tx

54
Q

Isosorbide Dinitrate overdose can result in

A

methemoglobinemia!

55
Q

Nitrates ROA

A

Sublingual

56
Q

If Channel Inhibitor, Sinus Node

A

Ivabradine

57
Q

Sacubitril/Valsartan combo

A

Neprilysin Inhibitor

58
Q

CHF w/ reduced ejection fraction

A

Sacubitril/Valsartan combo

59
Q

Phosphodiesterase Inhibitor

A

Inamrinone/Amrinone

60
Q

SHORT-term management ADVANCED HF

A

Inamrinone

61
Q

stimulates b-1 and b-2 ADRENERGIC receptors

A

Dobutamine

62
Q

AV nodal REENTRANT arrhytmias

63
Q

Digoxin Toxicity Risk

A

any pH imbalances! (increased sympathetic tone, respiratory disease, thyroid, etc)

64
Q

B1 agonists

A

Dopamine, Dobutamine

65
Q

Short-term management for SERIOUS HF

A

B1 agonists

66
Q

enhances vagal tone

67
Q

Glycosides

68
Q

B1 agonist w/ tolerance after few days

A

Dobutamine

Pharm (12 decks)

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