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Flashcards in 47 clinical arrhymia Deck (18)
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1

What are the 4 non-pharmacological therapy for arrhythmia?

pacemaker
electrical defibrillation/cardiovresion
implantable cardioverter-defibrillator
catheter based or surgical ablation

2

What are the 2 most common cardia arrhythmias?

atrial fibrillation and atrial flutter

3

What are 2 general strategies for cardiac arrhythmia?

rhythm control and rate control

4

How do we elicit rate control?

slow ventricular rate by blocking AV node conduction; beta blocker, Ca blocker, digoxin, adenosine for diagnosis

5

How do we elect rhythm control?

electrical or chemical cardioversion/revent reoccurrence: amiodarone if heart disease

6

What is an extremely effective treatment for flutter?

ablation

7

In supraventricular tachycardia SVT: AV nodal reentry, how for we treat? 3

Acute= break reentry- Ca blocker adenosine
Prevent reoccurrence- Ca or beta blockers
Ablate slow pathway of AV node leaving fast path

8

What are the 5 treatment considerations for ventricular tachycardia?

break acute- lidocaine, amiodarone, electrical cardioversion
prevent occurrence- beta blocker
prevent reoccurrence- beta blockers, amiodarone, sotalol
Ablation-
impantable cardioverter- defibrillator

9

What are the 4 treatment considerations for V fib treatment?

break acute- electrical defib, amiodarone
prevent occurrence- beta-blockers
prevent reoccurrence- amiodarone, stall
Implantable cardioverter- defibrillator

10

What is caused by conditions that prolong QT interval?

Torsades de Pointes

11

What are the 4 considerations for treatment of torsades de points?

-break acute- defib, lidocaine
-prevent occurrence- stop agents causing long QT
-Prevent reoccurrence- mag sulfate, isoproterenol, or pacemaker
- implantable cardioverter-defibrillator

12

What should we use for heart failure?

ACEI/ARB, beta blocker, nitrate/hydralazine

13

What should we use for angina

beta blocker, nitrates, Ca channel blocker

14

What should we use for A fib/ flutter?

beta blocker, diltiazem, verapamil

15

What should we use for bradycardia or conduction disease?

avoid beta blocker, diltiazem verapamil

16

What should we use for an athlete?

use ACEI/ARB or Ca blocker, avoid beta blocker, diltiazem, verapamil

17

What should we use in diabetes?

ACEI

18

What should we use for volume or Na dependent?

diuretic