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Pharm II > Antidysrhythmic Drugs > Flashcards

Antidysrhythmic Drugs Flashcards

1
Q

Atropine treats:

A

SYMPTOMATIC bradycardia

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2
Q

Atropine s/e

A

Urinary retention, tachycardia , blurred vision, dry mouth

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3
Q

A/e of atropine

A

V-tach
V-fib
But not common

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4
Q

Patient emar has an order for 20mg tab of atropine. Is patient taking for dysrhythmias ?

A

No

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5
Q

Check befor administering atropine

A

HR, BP, is pt symptomatic, patent IV

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6
Q

After administering atropine

A

HR and BP

URINE output

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7
Q

Pt teaching of atropine

A

Warn it might make HR fast for a bit

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8
Q

Digoxin level

A

0.8-2.0

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9
Q

Block AV node or slow AV node conduction

A

Digoxin

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10
Q

Digoxin toxicity

A

Hypokalemic

Halos, blurred vision, decreased LOC, decreased mag levels

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11
Q

Intended response of digoxin

A

Increase force of contraction so Heart is able to pump more blood with heart beat
Decrease HR

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12
Q

Adenosine is given when

A

Non-symptomatic SVT pts

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13
Q

Therapeutic use of adenosine

A

Given for narrow complex tachy
Pt is awake
Termination of paroxysmal SVT

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14
Q

Kick in chest by mule feeling

A

Adenosine

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15
Q

A/e of adenosine

A

V-fib
Cardiac arrest
Mi

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16
Q

adenosine should be pushed rapidly over 1-2 secs

A

True

17
Q

Pt teaching of adenosine

A

Purpose of drug

Sensation that occurs with drug possibly

18
Q

Drug used for torsades de pointe

A

Mag sulfate

19
Q

S/e of mag sulfate

A

Respiratory depression

Drowsiness, bradycardia, hypotension

20
Q

A/e of mag sulfate

A

Heart block, respiratory arrest mag toxicity

21
Q

Classes of tachydysrhythmias

A

Class I- sodium channel blockers
Class II- Beta blockers
Class III- potassium channel blockers
Class IV- calcium channel blockers

22
Q

Class with a lot of side effects which has led to a trend in decreased use

A

Class I - sodium channel blockers

23
Q

Adverse effect of lidocaine Class 1b

A

Lidocaine, numb all over

Cardiac arrest

24
Q

True or false

A

Be careful administering non-cardio beta blockers to asthmatic pts bc leads bronchi spasms

25
Q

Drug you have to be admitted to hospital to I tally start or restart drug

A

Dofetilide (tikosyn)

26
Q

1st line of drug for tachy dysrhythmias

A

Amirodione

27
Q

Reduced levels of amiodarone

A

Cholestyramine

28
Q

Types of calcium channel blockers

A

Verapamil and diltiazem

29
Q

Adverse reaction to calcium channel blockers

A

Steven Johnson syndrome

30
Q

Do you give calcium channel blockers to peds

A

Provider determination

31
Q

Drugs given down an ET tube in an emergency

A 
N- narcan
A- atropine 
V- Valium 
E- epinephrine 
L- lidocaine

Pharm II (4 decks)

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