Anti-arrhythmic Flashcards

(68 cards)

1
Q

2nd line tx ATRIAL and VENTRICULAR

A

Class IA

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2
Q

Lupus-like Syndrome

A

Procainamide

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3
Q

SE tremor

A

Class IB

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4
Q

IV only IB

A

Lidocaine

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5
Q

Rapid recovery

A

Class IB

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6
Q

Slow recovery

A

Class IC

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7
Q

2nd line VENTRICULAR

A

Class IB

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8
Q

SE nystagmus, confusion, seizures

A

Lidocaine

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9
Q

Lidocaine analog

A

Mexiletine

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10
Q

2nd line ATRIAL (if LV is good)

A

Class IC

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11
Q

POST-MI

A

Class II

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12
Q

rate control: A-fib, A-flutter

A

Class II

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13
Q

Atrial and Ventricular

A

Class III

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14
Q

rate control: atrial arrhythmias

A

Class IV

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15
Q

rate control: atrial arrhythmias, inotropic

A

Digoxin

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16
Q

ACUTE Atrial

A

Adenosine

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17
Q

Route of Adenosine

A

IV

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18
Q

SE: corneal deposits, photosensitivity, liver toxicity, pulmonary fibrosis SE

A

Amiodarone

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19
Q

SE: Cinchonism (headache, tinnitus)

A

Quinidine

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20
Q

depressed LV function

A

Class IC

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21
Q

Hypotension and Fluid retention on outset

A

Carvedilol

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22
Q

B-blocker, drug induced lupus

A

acebutolol

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23
Q

Torsades

A

Class IA and Class III

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24
Q

B-blocker less CNS effects

A

Atenolol

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25
Hypotension w/ reflex tachycardia
Class IV
26
SE: A-fib
Adenosine
27
SE: Heart block
Digoxin and Class IV
28
SE: AV block
Flecainide (Class IC)
29
Verapamil SE
constipation
30
K+ channel blocker and B-blocker
Sotalol
31
exacerbates hypoglycemia in DM
B-blockers
32
HT emergencies
Carvedilol
33
Chronic atrial tachycardias
Propafenone
34
Propafenone SE
Torsades, B-blocker properties: bronchospasm, myocardial suppression, careful in DM
35
Exercise Induced Angina
Metoprolol
36
Vasospastic Angina
Nifedipine
37
Tx: 2nd line chronic SVT
Quinidine
38
Atrial arrhythmia, NO STRUCTURAL heart disease
Flecainide
39
Tx: Chronic atrial tachyarrhythmias
Propafenone
40
Rebound syndromes with abrupt discontinuation
B-Blockers
41
Tx: 1st line acute and chronic atrial and ventricular arrhythmias!
Amioidarone!
42
SE: blue-gray skin discoloration
Amioidarone!
43
Tx: Chronic management of atrial arrhythmias
Sotalol
44
-ilide
Class III K channel blockers only
45
ibutilide
ACUTE atrial arrhythmias
46
dofetilide
CHRONIC atrial arrhythmias
47
SVT tx
Class IV (CCBs)
48
Diltiazem better than Verapemil in that it doesn't have...
reflex tachycardia
49
ACh sensitive K+ channels
Adenosine
50
Digoxin SE: bradycardia, SA node arrest, heart block
Atropine!, K+ and pacemaker
51
Digoxin SE: PVC of ventricular arrhythmia
Digiband
52
Tx: Chronic, stable angina
Ranolazine
53
Ranolazine may also help tx
A-fib
54
Isosorbide Dinitrate overdose can result in
methemoglobinemia!
55
Nitrates ROA
Sublingual
56
If Channel Inhibitor, Sinus Node
Ivabradine
57
Sacubitril/Valsartan combo
Neprilysin Inhibitor
58
CHF w/ reduced ejection fraction
Sacubitril/Valsartan combo
59
Phosphodiesterase Inhibitor
Inamrinone/Amrinone
60
SHORT-term management ADVANCED HF
Inamrinone
61
stimulates b-1 and b-2 ADRENERGIC receptors
Dobutamine
62
AV nodal REENTRANT arrhytmias
Digoxin
63
Digoxin Toxicity Risk
any pH imbalances! (increased sympathetic tone, respiratory disease, thyroid, etc)
64
B1 agonists
Dopamine, Dobutamine
65
Short-term management for SERIOUS HF
B1 agonists
66
enhances vagal tone
Digoxin
67
Glycosides
Digoxin
68
B1 agonist w/ tolerance after few days
Dobutamine