Sympathomimetics

Question 1

Rate control agents for AFib

Answer 1

Beta-blockers
Calcium channel blockers
Digoxin

Question 2

Rhythm control agents for AFib

Answer 2

Structurally normal hearts–> Flecainide, Propafenone (IC)
Others–> Amiodarone, Dofetilide, Sotalol (Class III)

Question 3

Rate control agents for AFlutter

Answer 3

Beta-blockers
Calcium channel blockers
Digoxin

Question 4

Acute AVNRT agents

Answer 4

Adenosine
Beta-blockers
Calcium Channel blockers

Question 5

Chronic AVNRT agents

Answer 5

Beta-blockers
Calcium channel blockers
Digoxin

Question 6

Acute AVRT agents

Answer 6

Adenosine

Question 7

Monomorphic VT agents

Answer 7

Amiodarone, Sotalol (Class III)
Lidocaine (IB)
Beta-blockers

Question 8

Contraindicated agents for monomorphic VT

Answer 8

Flecainide
Propafenone

Question 9

Torsades reversal agents

Answer 9

Shock
Magnesium
Phenytoin
Isoprotorenol

Question 10

Anti-ischemic agents for Angina

Answer 10

Beta-blockers
CCB
Nitrates

Question 11

Anti-platelet agents for Angina

Answer 11

Aspirin
Clopiodogrel or Ticagrelor

Question 12

Acute STEMI drugs

Answer 12

1. MONA
2. BB (if tolerated)
3. Anti-thromobotics–Heparin, Clopidogrel

Question 13

Acute NSTEMI/UA drugs

Answer 13

1. MONA
2. Heparin or LMWH or Fondaparinux
3. BB, Nitrates
4. Clopidogrel
5. If “hot”–> GP IIb/IIIa inhibitor

Question 14

Warm and Wet acute decompensated HF drugs

Answer 14

1. Diuresis (Loop diuretics, Thiazides, AA)
2. Uptitrate HF meds

Question 15

Cold and Wet acute decompensated HF drugs

Answer 15

1. Vasodilators (Nitro, SNP)
2. Inotropes (Dobutamine, Digoxin)

Question 16

Distributive Shock Agents

Answer 16

1. Norepinephrine (Levophed)
2. Phenylephrine
3. Vasopressin

Question 17

Cardiogenic Shock Agents

Answer 17

1. Dobutamine
2. If high BP and Pulm HTN–> Milrinone
3. If low BP–> Epinephrine