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Medic 16 Cards > Antidysrhythmics > Flashcards

Antidysrhythmics Flashcards

0
Q

Amiodarone (Cordarone, Pacerone)

Class

A

Antidysrhythmic (KCL Blocker)

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1
Q

Amiodarone

Another Name

A

Cordarone

Pacerone

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2
Q

Amiodarone (Cordarone, Pacerone)

Description

A

Antidysrhythmic that prolongs duration of the action potential and refactory period and relaxes smooth muscle, reducing peripheral vascular resistance and increasing coronary blood flow

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3
Q

Amiodarone (Cordarone, Pacerone)

Indication

A

Life threatening ventricular and super-ventricular dysrhythmias, frequently atrial fibrillation

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4
Q

Amioderone (Cordarone, Pacerone)

Contraindication

A

Cardiogenic shock, severe sinus bradycardia, advanced heart block

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5
Q

Amiodarone (Cardarone, Paceron)

Dose/Route

A

150mg over 10 min pt w/ pulses
300mg pulseless IVP
Pedi: 5mg/kg IV/IO then 15 mg/kg/day

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6
Q

Bretylium

Another Name

A

Bretylol

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7
Q

Bretylol

Another Name

A

Bretylium

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8
Q

Bretylium (Bretylol)

Class

A

Antidysrhythmic (KCL Blocker)

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9
Q

Bretylium (Bretylol)

Description

A

Causes release of norepinephrine, depresses ventricular fibrillation and reduces ectopy. Suppresses ventricular tachydysrhythmias including vfib with reentry mechanisms

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10
Q

Bretylium (Bretylol)

Indications

A

Ventricular fibrillation and ventricular tachycardia refactory to lidocaine

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11
Q

Bretylium (Bretylol)

Contraindications

A

None

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12
Q

Bretylium (Bretylol)

Dose/Route

A

5mg/ kg IV then 10mg/kg /15-30 min to max 30mg/kg

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13
Q

Adenosine

Another Name

A

Adenocard

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14
Q

Adenocard

Another Name

A

Adenosine

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15
Q

Adenosine (Adenocard)

Class

A

Antidysrhythmic

16
Q

Adenosine (Adenocard)

Description

A

Can “chemically cardiovert” PSVT to normal sinus. Half life 10 seconds and does not cause hypotension

17
Q

Adenosine (Adenocard)

Indication

A

Narrow, complex paroxysmal SVT refactory to vegal maneuvers

18
Q

Adenosine (Adenocard)

Contraindication

A

Afib, 2nd-3rd degree heart block, sinus node disease, or asthma.

19
Q

Adenosine (Adenocard)

Precautions

A

May cause dysrhythmias especially asystole, COPD

20
Q

Adenosine (Adenocard)

Dose/Route

A

6 mg rapidly (over 1-2 sec) IV, then flush line rapidly w/ saline. If ineffective 12 mg in 1-2 min may be repeated

21
Q

Lidocaine

Another Name

A

Xylocaine

22
Q

Xylocaine

Another Name

A

Lidocaine

23
Q

Lidocaine (Xylocaine)

Class

A

Antidysrhythmic (NA+ Blocker)

24
Q

Lidocaine (Xylocaine)

Description

A

Antidysrhythmic that suppresses automaticity and raises stimulation threshold of the ventricles. Also causes sedation, anticonvulsant, analgesic effects

25
Q

Lidocaine (Xylocaine)

Indication

A

Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia (w/ pulse)

26
Q

Lidocaine (Xylocaine)

Contraindication

A

Hypersensitivity to amide-type local anesthetics, super ventricular dysrhythmias, Stroke-Adams syndrome, 2nd-3rd degree heart block, bradycardia

27
Q

Lidocaine (Xylocaine)

Precautions

A

Hepatic or renal impairment, CHF, hypoxia, respiratory depression, hypovolemia, myasthenia gravis, shock, elderly.

28
Q

Lidocaine (Xylocaine)

Dose/Route

A

Cardia Arrests: 1-1.5 mk/kg IV repeated every 3-5 min up to 3 mg/kg, consider 1/2 dose for elderly. Follow conversion with drip of 2-4 mg/min. 1 gram/250cc

Head injuries: 1 mg/kg IVP
Pedi: 1 mg/kg IV repeat 3-5 min up to 3 mg, follow conversion with drip of 20-30 mcg/kg/min

29
Q

Procainamide

Another Name

A

Pronestyl

30
Q

Pronestyl

Another Name

A

Procainamide

31
Q

Procainamide (Pronestyl)

Class

A

Anti-arrhythmic

32
Q

Procainamide (Pronestyl)

Description

A

Prolongs ventricular repolarization, slows conduction and decreases myocardial excitability.

33
Q

Procainamide (Pronestyl)

Indication

A

V-fib and pulseless ventricular tachycardia refactory to lidocaine

34
Q

Procainamide (Pronestyl)

Contraindications

A

Hypersensitivity to procaine, myasthenia gravis and 2nd-3rd degree heart block

35
Q

Procainamide (Pronestyl)

Precaution

A

Hypostension, cardiac enlargement, CHF, AMI, ventricular dysrhythmias from digitalis, hepatic or renal impairment, or bronchial asthma

Medic 16 Cards (23 decks)

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