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Anti-dysrhythmics > Na+ Channel Blockers > Flashcards

Na+ Channel Blockers Flashcards

0
Q

What is the other name for xylocaine?

A

Lidocaine

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1
Q

What is the other name for lidocaine?

A

Xylocaine

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2
Q

What class of drug is lidocaine?

A

Antidysrhythmic (Sodium channel blocker)

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3
Q

What are is the other name, and class for lidocaine?

A

Xylocaine and antidysrhythmic

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4
Q

What are the indications for lidocaine?

A

Vtach and Vfib

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5
Q

What are the indications for lidocaine and the adult dose?

A

Vtach/ Vfib
1-1.5 mg/kg IV (q 3-5 min) max 3mg/kg
Consider 1/2 for elderly
Post conversion: 2-4 mg/min(1 g/ 250cc)

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6
Q

What are the indications for lidocaine and the pediatric dose?

A

Vtach/Vfib
1mg/kg IV (q 3-5 min to a max of 3mg/kg)
Post conversion: 20-50 mcg/kg/min

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7
Q

What are the contraindications for lidocaine?

A

Hypersensitivity to amide-type local anesthetics, supraventricular dysrhythmias,
Stokes-Adams syndrome,
2nd- and 3rd-degree heart blocks,
and bradycardias.

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8
Q

What are the precautions for lidocaine?

A

Hepatic or renal impairment,

CHF, hypoxia, respiratory depression, hypovolemia, myasthenia gravis, shock, elderly

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9
Q

What is the description for lidocaine?

A

Lidocaine is an antidysrhythmic that suppresses automaticity and raises stimulation threshold of the ventricles. It also causes sedation, anticonvulsant, and analgesic effects.

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10
Q

What are the standard concentrations for lidocaine?

A

Bristajet 100mg/ 5 ml

Premix 1 g/250 ml or 2 g/ 500 ml

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11
Q

What is the other name for procainamide?

A

Pronestyl

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12
Q

What is the other name for pronestyl?

A

Procainamide

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13
Q

What is the class of procainamide?

A

Anti-arrhythmic (NA+ Blocker)

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14
Q

What is the class and indications for procainamide?

A

Anti-arrhythmic (NA+ Blocker)

Vfib and pulseless Vtach refractory to lidocaine

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15
Q

What are the class, Indications, and adult dose for procainamide?

A

Anti-arrhythmic (NA+ Blocker)
Vfib and pulseless Vtach refractory to lidocaine
20 to 30 mg/min IV drip @ 6-8mg/kg

16
Q

What are the class, indication, and pediatric dose for procainamide?

A

Anti-arrhythmic (NA+ Blocker)
Vfib and pulseless Vtach refractory to lidocaine
15 mg/kg/IV/IO over 30 to 60 min.

17
Q

What are the 4 stop points of procainamide?

A

Stop points: (1) up to 17 mg/kg to effect, then 1 to 4 mg/min (2) ectopy resolves (3) QRS complex widens more than 50% from original (4) hypotension ensues.

18
Q

What are the contraindications for procainamide?

A

Hypersensitivity to procainamide or procaine, myasthenia gravis, and 2nd- or 3rd-degree heart block.

19
Q

What are the precautions of procainamide?

A

Hypotension, cardiac enlargement, CHF, AMI, ventricular dysrhythmias from digitalis, hepatic or renal impairment, or bronchial asthma.

20
Q

What are the standard concentrations for procainamide?

A

Mix 1-2 g/250

vial 1g/10 ml

Anti-dysrhythmics (3 decks)

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