antidysrhythmic Flashcards
drug of choice for ventricular dysrhythmias, lipophilic, can cause hypo/hyperthyroidism, corneal microdeposits, photosensitivity is common and pulmonary toxicity can occur.
amiodarone
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
lidocaine
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
diltiazem
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.
adenosine
Recommend a well-balanced diet without an excess of?
alkaline ash food (citrus fruits, vegetables and milk
Encourage an increase in fluid intake of up to…
8 glasses of water per day
Educate the patient to limit or avoid…
caffeine intake
contact the prescriber immediately if there is a weight gain of
2lbs or more in 25 hours or 5lbs or more in 1 week
counsel the patient to avoid exertion, hot temperature, saunas and hot tubs because
heat-induced vasodilation
skillful nursing assessment includes:
close monitoring of heart rate, blood pressure, heart rhythm, general well being, skin color, temperature and heart, and breath sounds
causes cinchonism, symptoms include tinnitus, loss of hearing, slight blurred vision and GI upset
quinidine