Antidysrhythmics

Question 1

Class 1A: procainamide, quinidine

Answer 1

monitor for widening of the PR, QRS, or QT intervals. side effect - hypotension, heart failure

Question 2

Class 1B: lidocaine, mexiletine hydrochloride, tocainide, hydrochloride

Answer 2

CNS side effects: slurred speech, confusion, drowsiness, seizures; hypotension and bradycardia.

Question 3

Class 2: propanolol, esmolol hydrochloride, sotalol hydrochloride

Answer 3

apical heart rate! assess for SOB/wheezing, fatigue/sleep disturbances, apical heart rate for 1 MINUTE BEFORE ADMINISTRATION

side effects: bradycardia, hypotension, bronchospasm, increase in heart failure

Question 4

Class 3: Amiodarone hydrochloride

Answer 4

CONTINUOUS EKG MONITORINGalso QT interval. photophobia - teach to wear sunscreen and sunglasses.

side effects - liver toxicity! muscle weakness, hypotension and bradycardia and AV BLOCK

Question 5

Class 4: Verapamil; diltiazem hydrochloride

Answer 5

Monitor APICAL HEART RATE AND BP, orthostatic precautions, report signs of heart failure to health care provider

Question 6

general considerations -

Answer 6

most side effects deal with monitoring heart stuff and worsening heart failure.