Anti-Arrhythmic Pharmacology Flashcards

1
Q

What are the different classes of anti-arrhythmic drugs?

A

Class 1 – Na channel blockers
Class 2 – Beta Blockers
Class 3 – Repolarization delay
Class 4 – Calcium channel blockers
Other

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

What are the Na channel blockers?

A

Procainamide, Lidocaine, and Flecainide

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

What are the NA channel blockers used for?

A

Life threatening ventricular rhythms

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

What nonselective beta blocker can be used for tachyarrhythmia’s?

A

Propranolol

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

What are the other most common indications for propranolol?

A

Angina, essential tremors, migraine, and anxiety

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

What selective beta blockers can be used for arrhythmias?

A

Metoprolol & Atenolol

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

: What is our repolarization delay medication?

A

Amiodarone

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

If a patient had a recent MI and new onset of afib, what medication would they likely be placed on?

A

Amiodarone

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

So amiodarone can be used off label for afib, but what is it mainly used for?

A

Life-threatening/unresponsive Vfib & Vtach

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

What calcium channel blockers can we use for arrhythmias? What’s their class?

A

Nondihydropyridines – Verapamil & Diltiazem

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

Can you use a calcium channel blocker with a beta blocker?

A

NO

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

Can you use a calcium channel blocker for HF?

A

NO – except for amlodipine

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

What medication is our naturally occurring nucleoside?

A

Adenosine

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

What medication can be used during PSVT to help slow it down to help with diagnosis?

A

Adenosine

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

What is the other use of adenosine?

A

Stress testing

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

What medication can you use to control the rate during Afib?

A

Digoxin

17
Q

What is the drug class of digoxin?

A

cardiac glycoside

18
Q

What is MOA of digoxin?

A

Promotes an influx in calcium, leading to an increase contractility

19
Q

What else can digoxin be used for?

A

HF

20
Q

What medication is our Electrolyte?

A

MgSO4

21
Q

When do you use Electrolyte?

A

Digitalis induced arrhythmia & off label for torsades de pointes

22
Q

What medications can cause QT prolongation, and should be avoided in those with CAD?

A

Macrolides = Erythromycin & Azithromycin

23
Q

How do you give MgSO4?

A

IV

24
Q

When someone is diagnosed with Afib, what are they at an increased risk for? How do you prevent this?

A

Stroke. Prevent with anticoag such as Dabigatran

25
Q

What should we remember about dosing dabigatran?

A

It cannot be stopped suddenly

26
Q

If a patient is on a statin, can they take dabigatran?

A

Nope, it will decrease the effects of the anticoag

27
Q

If someone has a valvular disease and Afib, can they be put on dabigatran?

A

Nope, contraindicated