Arrhythmia Treatments Flashcards
1
Q
Wandering atrial pacemaker
A
None
2
Q
Sinus bradycardia:
- If atropine/glycopyrrolate increase heart rate (4)?
- If drugs are ineffective and animal is symptomatic?
A
- Terbutaline, isopropamide, isoproterenol, probanthine
- Pacemaker
3
Q
Sinus arrest:
- If arrhythmia abolished by atropine (4)?
- If not?
A
- Terbutaline, isopropamide, isoproterenol, probanthine
- Pacemaker
4
Q
Hyperkalemia (3)
A
- Sodium bicarbonate
- Glucose/insulin
- Calcium gluconate
5
Q
First degree AV block
A
None
6
Q
Second degree AV block type I (Wenkebach):
- No clinical signs?
- Clinical signs: respond to (2), controlled by (2), emergency (2)?
- Don’t respond to atropine?
A
- None
- Respond: atropine, glycopyrrolate/ Control: Beta agonists, anticholinergics/ Emergency: Isoproterenol, dopamine
- Pacemaker
7
Q
Second degree AV block type II:
- No clinical signs?
- Clinical signs: respond to (2), controlled with (2), emergency (2)?
- Don’t respond to atropine?
A
- None
- Respond: atropine, glycopyrrolate/ Control: Beta agonists, anticholinergics/ Emergency: Isoproterenol, dopamine
- Pacemaker
8
Q
Third degree AV block
A
Pacemaker
9
Q
Sick Sinus Syndrome
A
Pacemaker
10
Q
Sinus tachycardia
A
Treat underlying cause.
11
Q
Supraventricular premature depolarizations (SDPs) & atrial tachycardia (treat underlying cause first):
- Emergency (2)?
- Maintenance (2)?
A
- Esmolol, diltiazam
- Sotalol, diltiazam
12
Q
Ventricular premature depolarizations (VPDs/VPCs) - correct underlying dz, electrolyte/acid-base imbalance first:
- Emergency DOC (dogs)?
- Other emergency options (3)?
- When stable (6)?
A
- Lidocaine
- Procainamide, beta blockers, magnesium (if drugs don’t work)
- Sotalol, mexiletine, mexiletine & beta blocker, mexiletine & sotalol, beta blocker, procainamide
13
Q
Ventricular tachycardia
A
Same as VPDs
14
Q
Accelerated idioventricular rhythm/ idioventricular tachycardia
A
None/correct cause
15
Q
Ventricular fibrillation (3)
A
Cardioversion (TOC), external countershock, defibrillation w/DC current
