Arrhythmias Part 2 Flashcards
How to treat Paroxysmal Atrial Fibrillation
1st Line: BB
2nd Line: SPAF
(Sotalol, propafenone, Amiodarone, felcanide)
How to manage acute episodes of Paroxysmal Atrial Fibrillation
PILL IN POCKET
(flecanide, propafenone, bisoprolol)
PRN
How to treat Paroxysmal Superventricular tachycardia 1st Line
1st Line:
Reflex Vagal Stimulation
- face in cold water
- carotid sinus massage
- valsalva manoevure (cover mouth and blow)
How to treat Paroxysmal Superventricular tachycardia 2nd Line
2nd Line:
IV Adenosine
How to treat Paroxysmal Superventricular tachycardia 3rd Line
3rd Line:
IV Verapamil
Prophylaxis of Paroxysmal Superventricular tachycardia
- BB
or - Rate Limiting CCB
Torsade De Points Hospital setting treatment
IV Magnesium Sulphate
Torsade De Points community setting treatment
BB (not sotalol)
Drugs that can cause Torsade De Points
- Amiodarone
- Macrolides
- Haloperidol
- SSRIs
- Antifungals
- TCAs