Arrhythmias: 1

Question 1

Quinidine AE

Answer 1

-Cinchonism (ND, HA, diz)
-QTP, TDP
-Thrombocytopenia
-Hemolytic anemia

CA QT

Question 2

Procainamide AE

Answer 2

-Lupus
-BM aplasia
-QTP, TDP
-Low BP

BBQ is L

Question 3

Negative Inotropes

Answer 3

-Procainamide
-Flecainide

Question 4

Lidocaine AE

Answer 4

-CNS effects > 5, > 9
-SA, brady, heart block

CAB

Question 5

Mexiletine AE

Answer 5

-CNS (tremor)
-Proarr
-GI
-Thrombocytopenia

TTAG mex

Question 6

Flecainide AE

Answer 6

-Proarr
-CHF

CAF

don’t use in SHD

Question 7

Propafenone AE

Answer 7

-Proarr
-CHF
-Bronchospasm
-CNS
-Metalic taste

MC CAB

CI: SHD, COPD/asthma

Question 8

Amiodarone AE

Answer 8

-Pulmonary fibrosis
-Thyroid issues
-LFTs, hepatitis
-Corneal microdeposits, macular degen
-Blue/gray skin

ID LEFT AMIO

Caution iodine allergy

Question 9

Ibutilide AE

Answer 9

-Every arrhythmia

Question 10

Dronedarone

Answer 10

Less AE than Amio but less effective

CI: Brady, QTC 500+, heart block

Question 11

Diltiazem/Verapamil AE

Answer 11

-AV block, Brady
-Flushing, hypotension, dizzy, lethargy
-Edema
-GI, HA

Dilt/Vera born in FEB

Vera: proarr

Question 12

Disopyramide

Answer 12

-AC effects
-HF
-Proarr
-Hypotension

HAHA

Question 13

Adenosine AE

Answer 13

-Aystole
-Flushing, chest pain, bronchospasm, dyspnea

ABCDF

MUST BE GIVEN WITH SALINE FLUSH RIGHT AFTER