Arrhythmias

Question 1

What is class 1a antiarrhythmic

Answer 1

Slow Na channel blockers

Question 2

Examples of class 1a antiarrhythmic

Answer 2

Quinidine,
Procainamide,
Dispyramide

Question 3

What is class 1b antiarrhythmic

Answer 3

Intermediate Na channel blockers

Question 4

Examples of class 1a antiarrhythmic

Answer 4

Lidocaine,
Mexiletine,
Tocainide

Question 5

What is class 1c antiarrhythmic

Answer 5

Fast Na channel blockers

Question 6

Examples of class 1a antiarrhythmic

Answer 6

Flecainide,

Propafenone

Question 7

What is class 2 antiarrhythmic

Answer 7

Beta blockers

Question 8

Examples of class 2 antiarrhythmic

Answer 8

Atenolol,

Bisoprolol

Question 9

What is class 4 antiarrhythmic

Answer 9

Calcium channel blockers

Question 10

Examples of class 4 antiarrhythmic

Answer 10

Dilitizem,

Verapamil

Question 11

What must you monitor in digioxin

Answer 11

Potassium levels,

Monitor drug levels

Question 12

Signs of digioxin toxicity

Answer 12

Xanthopsia,
Nausea,
Bradycardia or tachycardia,
Arrhythmias VT and VF

Question 13

What can cause a patient to have a slate-grey pigmentation

Answer 13

Amiodarone with digioxin adverse effect

Question 14

Describe atrial fibrillation

Answer 14

irregularly irregular heart rate

Question 15

S/s of AF?

Answer 15

Asymptomatic,
Chest pain 
SOB,
Embolism, 
Fatigue, 
Palpitations

Question 16

Treatment of AF

Answer 16

Antiarrhthmics (class 1A, 1C, II, IV),
Anticoagulants, 
AV node ablation, 
Digioxin, 
DC cardioversion

Question 17

How does atrial flutter appear on ECG

Answer 17

Sawtooth appearance

Question 18

Presentation of atrial flutter

Answer 18

Palpitations

Question 19

Treatment of atrial flutter

Answer 19

Anticoagulants,
Antiarrhythmics (class IC and IV)
Dc cardioversion,
Radio frequency ablation

Question 20

What are the different classes of heart block?

Answer 20

First degree,
Second degree- Mobitz type 1 and 2)
Complete heartblock

Question 21

Difference between 1st and 2nd degree heart block

Answer 21

1st- small AV nodal delay
2nd- AV nodal delay leads to palpitations
Complete- no AV nodal conduction

Question 22

Presentation of 2nd degree heart block

Answer 22

Dizziness,

Syncope

Question 23

Treatment of Mobitz type 2 and complete heart block?

Answer 23

Pacemaker

Question 24

What are the 2 types of supraventicular tachycardia

Answer 24

AV nodal reentrant tachycardia,

AV re-entrant tachycardia

Question 25

What is AV nodal re-entrant tachycardia

Answer 25

Fast and slow pathway with one conducting up and the other down

Question 26

What is AV reentrant tachycardia

Answer 26

Accessory pathway

Question 27

Treatment of supraventricular tachycardia?

Answer 27

Amiodarone, Class IV, Radio frequency ablation

Question 28

Treatment of ventricular fibrillation?

Answer 28

Cardiac arrest protocol Antiarrhythmics (class 1b, 1c, amiodarone), DC cardioversion