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Paramedic Drugs Bridgeport > Anti Arrhythmics > Flashcards

Anti Arrhythmics Flashcards

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1
Q 
name/class
adenosine
A

Adenocard

Antidysrhythmic

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2
Q 
name/class
Adenocard
A

Adenosine

Antidysrhythmic

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3
Q

Description
Adenosine
Adenocard

A

Adenosine can “chemically cardiovert” PSVT to a normal sinus rhythm. It has a half life of 10 seconds and does not cause hypotension.

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4
Q

Indications
Adenosine
Adenocard

A

Narrow, Complex Paroxysmal Supraventricular Tachycardia Refactory to Vagal Maneuvers

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5
Q

Contraindications
Adenosine
Adenocard

A

Atrial Fibrilation, 2nd and 3rd degree heart block, sinus node disease or asthma

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6
Q

Precautions
Adenosine
Adenocard

A

It may cause transient dysrhythmias especially asytole, COPD

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7
Q

Adult Dosage/Route
Adenosine
Adenocard

A

6 mg rapidly(over 1-2 sec) IV, then flush line rapidly with saline. If ineffective 12 mg in 1-2 min may be repeated

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8
Q

PEDI Dosage/Route
Adenosine
Adenocard

A

0.1 mg/kg (over 1-2 sec) IV followed by rapid saline flush, then 0.2 mg/kg in 1-2 min to max 12 mg

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9
Q 
Name/class
Amiodarone
A 
cordarone, pacerone
Anti dysrhythmic (KCL Blocker)
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10
Q 
Name/class
Cordarone
A 
Amiodarone, Pacerone
Anti dysrhythmic (KCL Blocker)
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11
Q 
Name/class
Pacerone
A 
Amiodarone, Cordarone
Anti dysrhythmic (KCL Blocker)
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12
Q

Description
Amiodarone
Cordarone
Pacerone

A

amiodarone is an antidysrhythmic that prolongs the duration of the action potential and refactory period and relaxes smooth muscles reducing peripheral vascular resistance and increasing coronary blood flow

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13
Q

Indications
Amiodarone
Cordarone
Pacerone

A

life-threatining ventricular and supraventricular dysrhymias, frequently atrial fibrillation

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14
Q

Contraindications
Amiodarone
Cordarone
Pacerone

A

Cardiogenic shock,severe sinus bradycardia, or advanced heart block

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15
Q

Adult Dosage/Route
Amiodarone
Cordarone
Pacerone

A

150 mg over 10 min PT with pulses or 300 mg pulseless IVP

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16
Q

Pedi dosage/route
Amiodarone
Cordarone
Pacerone

A

5 mg/kg IV/IO, then 15 mg/kg/day

17
Q 
name/class
Bretylium
A

Bretylol

Antidysrhythmic (KCL Blocker)

18
Q 
name/class
Bretylol
A

Bretylium

Antidysrhythmic (KCL Blocker)

19
Q

Description
Bretylium
Bretylol

A

Bretylium causes a release of norepinephrine, depresses ventricular fibrillation, and reduces ectopy. Bretylium suppresses ventricular tachydysrhythmias including VFIB with reentry mechanisms.

20
Q

Indications
Bretylium
Bretylol

A

Ventricular fibrillation and ventricular tachycardia refactory to lidocane

21
Q

Contraindictations
Bretylium
Bretylol

A

None

22
Q

Dosage/route
Bretylium
Bretylol

A

5 mg/kg IV, then 10 mg/kg 15-30 min to a max 30 mg/kg

23
Q 
name/class
lidocane
A

xylocaine

Antidysrhythmic (NA+ Blocker)

24
Q 
Name/class
xylocaine
A 
lidocane 
Antidysrhythmic (NA+ Blocker)
25
Q

Description
lidocane
xylocaine

A

Lidocane is an antidysrhythmic that suppresses automaticity and raises stimulation threshold of the ventricles. It also causes sedation, anticonvulsant and analgesic effects

26
Q

Indications
lidocane
xylocaine

A

pulseless ventricular tachycardia, ventricular fibrilation, ventricular tachycardia (with pulse)

27
Q

contraindications
lidocane
xylocaine

A

hypersensitivity to amide-type local anesthetics, supraventricular dysrhythmias, stroke-adams syndrome, 2nd and 3rd degree heart blocks and bradycardia

28
Q

precautions
lidocane
xylocaine

A

hepatic or renal impairment, CHF, Hypoxia, Respiratory depression, Hypovolemia, Myasthenia gravis, shock, elderly

29
Q

adult dosage/route
lidocane
xylocaine

A

1-1.5 mg/kg IV repeated every 3-5 min up to 3mg/kg consider 1/2 dose for eldely follow conversion with a drip of 2-4 mg/min. 1 gram/250cc

30
Q

Pedi dosage/route
lidocane
xylocaine

A

1 mg/kg IV, repeat every 3-5 min up to 3 mg/kg, follow conversion with a drip of 20-50 mcg/kg/min

31
Q

name/classification

Procainamide

A

Pronestyl

Anti-arrhythmic (NA+ Blocker)

32
Q 
name/class
Pronestyl
A

Procainamide

Anti-arrhythmic (NA+ Blocker)

33
Q

Description
Procainamide
Pronestyl

A

Procainamide prolongs ventricular repolarization, slows conduction and decreases myocardial excitability

34
Q

Indications
Procainamide
Pronestyl

A

Ventricular fibrilation and pulseless ventricular tachycardia refactory to lidocaine

35
Q

Contraindications
Procainamide
Pronestyl

A

Hypersensitivity to procainamide or procane. Myasthenia gravis, and 2nd or 3rd degree heart block

36
Q

Precautions
Procainamide
Pronestyl

A

Hypotension, cardiac enlargement, CHF, AMI, Ventricular dysrhythmias from digitalis, hepatic or renal impairment, bronchial asthma

37
Q

Adult dosage/route
Procainamide
Pronestyl

A

20-30 mg/min IV drip @ 6-8 mg/kg
Stop points;(1) up to 17 mg/kg to effect then 1-4 mg/min (2) ectopy resolves (3) QRS complex widens more than 50% from originial (4) hypotension ensues

38
Q

Pedi dosage/route
Procainamide
Pronestyl

A

15 mg/kg IV/IO over 30-60 min

Paramedic Drugs Bridgeport (12 decks)

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