Anti-arryhthmic Drugs Flashcards
Vaughn-williams Classification of Antiarrhythmic Drugs
Na
B
K
Ca
Class IA (Proclamation,Queen, Pyramid
Quinidine
Procainamide
Disopyramide
Class IB
Lidocaine
Tx. Ventricular Tachycardia
Lidocaine - safe
Class IC
Flecainide
Propafenone
Class II
Propanolol
Acebutalolol
Esmolol
Class III (K)
Amiodarone
Class IV (Ca)
Diltiazem, Verapamil
Adverse Effects Antiarrhythimic Drug
Bradycardia
Torsades de Pointes
NSAIDS are
all COX (prostaglandin) anti-inflammatory analgesics anti-pyretic cardiotoxic
Don’t prescribe NSAIDs in px with
Renal Failure
COX 1
Daily
Gastric Secretion
Platelet aggregation
COX 2
injury
Non- selective NSAIDS adverse effect
high gastric irritation
bleeding
Selective “COXIB” NSAIDS
less gastiric irritation useful severe pain not good px CDV (hypertension) Risk : MI & Stroke not exceed 1wk, Short as possible
Non- selective NSAIDS
- Ibuprofen
- Erodolac
- Meloxicam
- Naproxen
- Nabumetone
Least cardiotoxic NSAIDs
Naproxen
Non selective COX 2 preferential
Meloxicam
Oldest NSAIDS
Aspirin
Aspirin derived
Willow tree bark
Aspirin
5 ASA
Aspirin
prodrug
Aspirin activie form
Salicylates - COX inhibitor
High dose of Aspirin
Salicylism- Sodium Bicarbonate