Drug treatment for arrhythmias

Question 1

Treatment for acute left ventricular failure that relief immediate distress?

Answer 1

Lasix
Morphine 
Nitrates                         LMNOP
O2 
Position

Question 2

Treatment for heart failure?

Answer 2

Frusemide or Bumetanide
Holy trinity - ACEI or ARBs, Beta blockers, & spironolactone
Ivabradine
Salcubitril/Valsartan

Question 3

Drugs for rate control of AF?

Answer 3

Beta blockers
Digoxin
Rate limiting calcium channel blocker

Question 4

Treatment of AF?

Answer 4

Rate control- BB, Digoxin, RLCCB’s(Rate limiting calcium channel blockers)

Anti-coagulate= warfarin, NOACs - rivaroxoban, apixaban

Question 5

A man of 80 has a long history of heart failure secondary to ischaemic heart disease. He presents with increasing breathlessness. He is unable to lie flat and any exertion induces dyspnoea. He has markedly swollen ankles, a raised JVP, a gallop rhythm, a persisting tachycardia and a blood pressure of 100/60 mmHg. He is currently taking furosemide and an ACEI in adequate doses and is warfarinised.
What other treatments could be tried?

Answer 5

Replace frusemide with bumetanide
BB
MRA
? Salcubitril valsartan
Digoxin
If diuretic resistance
Add thiazide diuretic to loop diuretic