Atrial Fibrillation Flashcards

1
Q

First class drugs

A
  • Beta blockers
  • Calcium channel blockers
  • Digoxin
  • Pill in a pocket
  • Flecainide
  • Sotalol
  • Amiodarone/Dronedarone
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2
Q

When to take pill in a pocket

A

History of infrequent, asymptomatic episodes of paroxysmal AF lasting at least 6 hours not associated with major haemodynamic deterioration and no underlying structural heart disease.

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3
Q

How and when to take pill in a pocket

A

For the first time: The patient must present to A&E to be offered a single oral dose of Flecainide 300mg under medical supervision and ECG monitoring
For future use: Rest until palpitations stop or up to 4 hours following self-administration of Flecainide 300mg.

In the event that the symptoms deteriorate or medications fails to terminate the AF after 4 hours, they must report to A&E.

Must never take more than 300mg Flecainide within any 24 hour period.

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