Antidysrhythmic Drugs Flashcards
Atropine treats:
SYMPTOMATIC bradycardia
Atropine s/e
Urinary retention, tachycardia , blurred vision, dry mouth
A/e of atropine
V-tach
V-fib
But not common
Patient emar has an order for 20mg tab of atropine. Is patient taking for dysrhythmias ?
No
Check befor administering atropine
HR, BP, is pt symptomatic, patent IV
After administering atropine
HR and BP
URINE output
Pt teaching of atropine
Warn it might make HR fast for a bit
Digoxin level
0.8-2.0
Block AV node or slow AV node conduction
Digoxin
Digoxin toxicity
Hypokalemic
Halos, blurred vision, decreased LOC, decreased mag levels
Intended response of digoxin
Increase force of contraction so Heart is able to pump more blood with heart beat
Decrease HR
Adenosine is given when
Non-symptomatic SVT pts
Therapeutic use of adenosine
Given for narrow complex tachy
Pt is awake
Termination of paroxysmal SVT
Kick in chest by mule feeling
Adenosine
A/e of adenosine
V-fib
Cardiac arrest
Mi
adenosine should be pushed rapidly over 1-2 secs
True
Pt teaching of adenosine
Purpose of drug
Sensation that occurs with drug possibly
Drug used for torsades de pointe
Mag sulfate
S/e of mag sulfate
Respiratory depression
Drowsiness, bradycardia, hypotension
A/e of mag sulfate
Heart block, respiratory arrest mag toxicity
Classes of tachydysrhythmias
Class I- sodium channel blockers
Class II- Beta blockers
Class III- potassium channel blockers
Class IV- calcium channel blockers
Class with a lot of side effects which has led to a trend in decreased use
Class I - sodium channel blockers
Adverse effect of lidocaine Class 1b
Lidocaine, numb all over
Cardiac arrest
True or false
Be careful administering non-cardio beta blockers to asthmatic pts bc leads bronchi spasms
