antidysrhythmic Flashcards

1
Q

drug of choice for ventricular dysrhythmias, lipophilic, can cause hypo/hyperthyroidism, corneal microdeposits, photosensitivity is common and pulmonary toxicity can occur.

A

amiodarone

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2
Q

exerts its effects on the conduction system of the heart by making it difficult for the ventricles to develop a dysrhythmia, dosage reduction by 50% is recommended for patients with liver failure or cirrhosis. Adverse effects: twitching, convulsions, and confusion; respiratory arrest

A

lidocaine

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3
Q

temporary control of rapid ventricular response in patients with atrial fibrillation or flutter and PSVT. Contraindicated in patients with known hypersensitivity, acute MI, pulmonary congestion. Wolff-Parkinson-white syndrome or second or third-degree AV block

A

diltiazem

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4
Q

slows the electrical conduction time through the AV node and is indicated for the conversion of PSVT to sinus rhythm. It has an extremely short half-life of less than 10 seconds. administered only intravenously and only as a fast intravenous push.

A

adenosine

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5
Q

Recommend a well-balanced diet without an excess of?

A

alkaline ash food (citrus fruits, vegetables and milk

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6
Q

Encourage an increase in fluid intake of up to…

A

8 glasses of water per day

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7
Q

Educate the patient to limit or avoid…

A

caffeine intake

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8
Q

contact the prescriber immediately if there is a weight gain of

A

2lbs or more in 25 hours or 5lbs or more in 1 week

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9
Q

counsel the patient to avoid exertion, hot temperature, saunas and hot tubs because

A

heat-induced vasodilation

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10
Q

skillful nursing assessment includes:

A

close monitoring of heart rate, blood pressure, heart rhythm, general well being, skin color, temperature and heart, and breath sounds

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11
Q

causes cinchonism, symptoms include tinnitus, loss of hearing, slight blurred vision and GI upset

A

quinidine

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