Anti-arrythmics Flashcards

1
Q

What class of antiarrhythmics are the sodium channel blockers?

A

class I

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2
Q

What class of antiarrhythmics are the beta blockers?

A

class II

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3
Q

what class of antiarrhythmics are the potassium channel blockers?

A

class III

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4
Q

What class of antiarrhythmics are the calcium channel blockers?

A

class IV

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5
Q

What are the Class IA sodium channel blockers?

A

Quinidine, Procainamide and Disopyramide

the queen proclaims Disos pyramid

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6
Q

What can you use for Wolf Parkinson White?

A

procainamide ( good for entrant and ectopic SVT and VT)

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7
Q

Which class IA anti-arrhythmic can give you Cinchonism?

A

quinidine

cinchonism means tinnitus and headache

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8
Q

Which Class IA can give you SLE like syndrome?

A

procainamide

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9
Q

What are the Class IB ant-A?

A

Lidocaine and Mexiletine

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10
Q

What Anti-Arrhtymic would you give for a post MI?

A

Class IB ( Best post-MI)

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11
Q

Which antiarrhtymic can cause CNS stimulation/depression/ tremor agitation, cardiovascular depression like bradycardia/heart block/ hypotension?

A

Class IB (lidocaine and mexiletine)

ex delirium

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12
Q

What are the class IC?

A

Flecainide and Propafenone

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13
Q

Which Anti-arrhthmic type I type is a pro-arrhthmic and is extrememly contraindicated post-MI?

A

IC Flecainide and Propafenone

is contraindicated

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14
Q

What A.A is contraindicated in structurally ischemic hearts?

A

IC Flecainide and Propafenone

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15
Q

What AA decrease SA and AV node activity by decreasing CAMP CA, they supress abnormal pace makers by AV node, and decrease the slope of phase 4?

A

class II beta blockers

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16
Q

WHhat AA causes impotence, exacerbates COPD and asthma, and mask effects of hypoglycemia?

A

class II beta blockers

17
Q

Which beta blocker can cause vasospasm in vasospastic angina?

A

propranolol

18
Q

which beta blocker can cause dyslipidema?

A

metoprolol

19
Q

What do you treat a beta blocker overdose with?

A

atropine, glucagon and saline

20
Q

Name the class III anti A

A

they are potassium channel blockers
- Amiodarone, Ibutilide, Dofetilide, Sotalol
(AIDS)

21
Q

What is the AE for class III A.A?

A

Torsade de pointes, QT increase ( common w Sotalol)

22
Q

which Class III has AE of pulmonary fibrosis, hepatotoxicity, hypothyroidism or hyperthyroidism, blue/skin, photodermatitis

A

Amiodarone

23
Q

Name the class IV AA?

A

Diltiazem, and Verapamil ( Ca channel blocker)

24
Q

What treats Torasades de pointes and Digoxin toxicity?

A

Magnesium

25
Q

what drug prolongs depolarization by inhibiting funny sodium channels?

A

Ivabradine, given to chronic stable angina patients who cannot take beta blockers