Anti Arryhthmics Flashcards

1
Q

Adverse effects of group 1a

A

Fall in bp
Thrombocytopenia
Diarrhoea

Large doses - cinchonism
Tinnitus 
Deafness
Headache 
Blurring of vision
Diplopia
Photophobia 
Confusion 
Delirium 
Disorientation 
Psychosis
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2
Q

Moa of 1b

A

Block na channels in activated and inactivated state

Decrease automaticity of ectopic foci by reducing the slope of phase 4 depolarization

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3
Q

Adverse effects of lignocaine

A
Headache 
Drowsiness 
Blurred vision
Confusion
Muscle twitching 
Convulsions

High doses
Hypotension due to myocardial depression
Side effects potentiated in hepatic and renal failure

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4
Q

Adverse effects of 1c

A

Both: exacerbate arrhythmia and ccf

Propefenone: 
Metallic taste
Constipation
Bradycardia 
Bronchospasm

Flecainide:
Blurring of vision

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5
Q

Ae of b blockers

A
Hypotension
Dizziness 
Bronchospasm in asthmatics
Hallucinations
Bradycardia
Sleep disturbances
Sexual dysfunction in males
Nightmares
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6
Q

Ae of class 3

A

CVS: hypotension
Chf
Exacerbating arrhythmia

Peripheral neuropathy 
Pulmonary fibrosis
Nausea and hepatitis in GIT
Photosenstivity and pigmentation of skin
Corneal deposits in eye
Thyroid: hyper and hypo - monitor tsh t3 t4 during Long term therapy
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7
Q

Ae of ca2+ blockers

A

Edema
Sinus bradycardia
Constipation

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8
Q

Adenosine ae

A
Asystole
Bronchospasm 
Chest psin
Dyspnea
Flushing
Hypotension 
Headache
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