Anti-arryhthmic Drugs Flashcards

1
Q

Vaughn-williams Classification of Antiarrhythmic Drugs

A

Na
B
K
Ca

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2
Q

Class IA (Proclamation,Queen, Pyramid

A

Quinidine
Procainamide
Disopyramide

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3
Q

Class IB

A

Lidocaine

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4
Q

Tx. Ventricular Tachycardia

A

Lidocaine - safe

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5
Q

Class IC

A

Flecainide

Propafenone

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6
Q

Class II

A

Propanolol
Acebutalolol
Esmolol

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7
Q

Class III (K)

A

Amiodarone

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8
Q

Class IV (Ca)

A

Diltiazem, Verapamil

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9
Q

Adverse Effects Antiarrhythimic Drug

A

Bradycardia

Torsades de Pointes

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10
Q

NSAIDS are

A
all COX (prostaglandin)
anti-inflammatory
analgesics
anti-pyretic
cardiotoxic
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11
Q

Don’t prescribe NSAIDs in px with

A

Renal Failure

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12
Q

COX 1

A

Daily
Gastric Secretion
Platelet aggregation

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13
Q

COX 2

A

injury

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14
Q

Non- selective NSAIDS adverse effect

A

high gastric irritation

bleeding

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15
Q

Selective “COXIB” NSAIDS

A
less gastiric irritation
useful severe pain
not good px CDV (hypertension)
Risk : MI & Stroke
not exceed 1wk, Short as possible
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16
Q

Non- selective NSAIDS

A
  1. Ibuprofen
  2. Erodolac
  3. Meloxicam
  4. Naproxen
  5. Nabumetone
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17
Q

Least cardiotoxic NSAIDs

A

Naproxen

18
Q

Non selective COX 2 preferential

A

Meloxicam

19
Q

Oldest NSAIDS

A

Aspirin

20
Q

Aspirin derived

A

Willow tree bark

21
Q

Aspirin

A

5 ASA

22
Q

Aspirin

A

prodrug

23
Q

Aspirin activie form

A

Salicylates - COX inhibitor

24
Q

High dose of Aspirin

A

Salicylism- Sodium Bicarbonate

25
Q

High dose of Aspirin complication

A

Ototoxicity

26
Q

Aspirin should not be given in children

A

Reye Syndrome: Viral Infection , Fever, Children

27
Q

Closure of Patent Ductus Arteriosus

A

Indomethacin

Ibuprofen

28
Q

Opioid Analgesic

A

Mu receptors

29
Q

Full agonist

A
Morphine 
Meperidine
Heroin
Methadone
Fentanyl
30
Q

Partial agonist

A

CODONE

31
Q

Analgesics

A
  1. Propoxyphene
  2. Oxycodone
  3. Hydrocodone
  4. Tramadol
32
Q

effect serotonin non addicting, regular prescription
Adverse effect: Dull headaches
Dizziness

A

Tramadol

33
Q

Dextromethorphan / codeine

A

suppressing to urge to cough

34
Q

Don’t combine antitussive to mucolytics

A

high risk lower respiratory infection

35
Q

Dont use loperamide or anti motility drug

A

infectious diarrheal

36
Q

Primary management diarrhea

A

Oral rehydration

37
Q

Partial agonist (punta na boyfriend)

A

Buprenorphine
Pentazocine
Nalbuphine

38
Q

NAL

A

Opiod antagonist except: Nalbuphine (mixed anta & agonist)

39
Q

Paracetamol not

A

Hepatotoxic not NSAIDS

40
Q

Dangerous advers effecto of Opiods

A

Respiratory Depression

41
Q

Papaver somniferum Scientific name

A

Opiods

42
Q

Opiods adverse effects

A

smooth muscle relaxation