Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

therapeutics 3 - exam 2 > arrhythmias pt 6 > Flashcards

arrhythmias pt 6 Flashcards

tisdale summary end pages (55 cards)

Start Studying
1
Q

what is the treatment of choice for sinus bradycardia?

A

only if symptomatic –> atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the treatment of choice for AF –> ventricular rate control?

A

BB, diltiazem, or verapamil for pts w/o HFrEF
BB with or w/o concomitant digoxin for HFrEF pts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the treatment of choice for AF (conversion to sinus rhythm) in HFrEF pts?

A

oral amiodarone, ibutilide (not if LVEF under 30%), or dofetilide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the treatment of choice for AF (conversion to sinus rhythm) for pts with normal EF?

A

oral amiodarone, dofetilide, oral flecainide (single loading dose), oral propafenone, or ibutilide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the treatment of choice for pts without structural HD for AF (maintenance of sinus rhythm)?

A

dofetilide, dronaderone, flecainide, propafenone, sotalol, or catheter ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the treatment of choice in CAD pts for AF (maintenance of sinus rhythm)?

A

dofetilide, dronaderone, sotalol, or catheter ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the treatment of choice in HFrEF pts for AF (maintenance of sinus rhythm)?

A

amiodarone, dofetilide, catheter ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the treatment of choice for AF (stroke/systemic embolism prevention) and CHADS-VASc score of 2+?

A

dabigatran
rivaroxaban
apixaban
edoxaban

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when is warfarin the treatment of choice for AF (stroke/systemic embolism prevention)?

A

if pt has mechanical heart valve or valvular AF (mitral valve stenosis)
if pt is on hemodialysis or has end-stage CKD (not on hemodialysis) (could also be apixaban)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the treatment of choice for SVT (acute termination)?

A

adenosine
if ineffective –> BB, diltiazem, or verapamil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the treatment of choice for SVT (prevention of recurrence)?

A

catheter ablation
OR
normal EF –> BB, diltiazem, or verapamil
HFrEF –> amiodarone, digoxins, dofetilide, or sotalol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the treatment of choice for asymptomatic PVCs?

A

no treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the treatment of choice in symptomatic PVCs in pts without HFrEF?

A

BB
diltiazem
verapamil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the treatment of choice for symptomatic PVCs in HFrEF pts?

A

BB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the treatment of VT (acute termination) in pts with structural HD?

A

DCC or procainamide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the treatment of choice in VT (acute termination) with no structural HD, but verapamil-sensitive?

A

verapamil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the treatment of choice for VT (acute termination) in pts with no structural HD, but with out flow tract VT?

A

BB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the treatment of choice in VF?

A

defibrillation
Epi
IV amiodarone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the treatment of choice in VT or VF (prevention of recurrence)?

A

ICD
amiodarone or sotalol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

in what cases should DCC be used?

A

if hemodynamically unstable in VT (acute termination), SVT (acute termination), and AF (conversion to sinus rhythm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are the indications and AE associated with adenosine?

A

SVT
AE –> CP, flushing, SOB, sinus pauses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are the indications and AE of aminophylline?

A

SB in pts after heart transplant or spinal cord injury
AE –> AF, CP, dizziness, seizures, syncope, tachycardia, tremor, V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what are the indications of amiodarone?

24
Q

what is the AE of amiodarone by dosage form?

Study These Flashcards
A

IV –> hypotension, bradycardia
PO –> blue grey skin discoloration, photosensitivity, corneal microdeposits, pulmonary fibrosis, hepatoxicity, bradycardia, thyroid dysfunction

25
what are the indications and AE of atropine?
SB AE --> tachycardia, urinary retention, blurred vision, dry mouth, mydriasis
26
what are the indications and AE of digoxin?
AF, SVT AE --> NV, anorexia, ventricular arrhythmias
27
what are the indications and AE of diltiazem?
AF, SVT AE --> hypotension, bradycardia, HF exacerbation, AV block
28
what are the indications and AE of dofetilide?
AF AE --> TdP
29
what are the indications and AE of dronedarone?
AF AE --> bradycardia, ND, asthenia, rash
30
what are the indications and AE of esmolol?
AF, SVT AE --> hypotension, bradycardia, AV block, HF exacerbation
31
what are the indications and AE of flecainide?
AF AE --> dizziness, blurred vision, HF exacerbation
32
what are the indications and AE of ibutilide?
AF AE --> TdP
33
what are the indications and AE of lidocaine?
VF AE --> confusion, seizures
34
what are the indications and AE of metoprolol?
AF, PVCs AE --> hypotension, bradycardia, AV block, HF exacerbation (tart only)
35
what are the indications and AE of procainamide?
VT AE --> hypotension, TdP
36
what are the indications and AE of propafenone?
AF AE --> dizziness, blurred vision
37
what are the indications and AE of propranolol?
AF, PVCs AE --> hypotension, bradycardia, AV block, HF exacerbations
38
what are the indications and AE of sotalol?
AF, VT AE --> B-blockade, TdP
39
what are the indications and AE of theophylline?
SB in pts after heart transplant or spinal cord injury AE --> AF, CP, dizziness, seizures, syncope, tachycardia, tremor, V
40
what are the indications and AE of verapamil?
AF, SVT AE --> hypotension, HF exacerbation, bradycardia, AV block, constipation (oral)
41
what is the dosing of adenosine?
6mg IV over 2 minutes, 12mg IV over 2 minutes, 12mg IV over 2 minutes if necessary
42
what is the dosing of amiodarone in VF?
300 mg IV/IO diluted in 20-30mL D5W
43
what is the dosing of lidocaine in VF?
1-1.5 mg/kg IV/IO
44
what is the dosing of dofetilide?
based on CrCl over 60 --> 500 mcg BID 40-60 --> 250 mcg BID 20-40 --> 125 mcg BID under 20 --> CI
45
what is the dosing of sotalol?
80-120 mg BID
46
what IV drugs are most likely to cause hypotension?
VD procainamide amiodarone
47
what drugs are most likely to cause HFrEF exacerbation?
Flecainide V BB in unstable pts
48
what drugs are most likely to cause bradycardia?
VD BB digoxin amiodarone dronedarone
49
what drugs are most likely to cause proarrhythmias aka TdP?
ibutilide dofetilide sotalol procainamide
50
what drugs are most likely to cause GI issues?
aminophylline amiodarone (during oral loading phase) digoxin (in toxicity) dronedarone theophylline
51
what drug is most likely to cause constipation?
V
52
what drug is more likely to cause CNS toxicity?
digoxin (confusion) amiodarone (tremor)
53
what drugs are most likely to cause dizziness/blurred vision?
flecainide propafenone
54
what are the unique AE of amiodarone that no other drugs have?
hepatotoxicity pulmonary fibrosis hypo/hyper thyroidism corneal micro deposits photosensitivity and/or blue-grey skin discoloration
55
what drug is most likely to cause flushing/CP?
adenosine

therapeutics 3 - exam 2 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions