Medications Flashcards

1
Q

class 1

A

blocks Na channels

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2
Q

what do class 1 blocks Ns channels do

A

prolongs absolute refractory peroid and decreases risk of premature impulses, decreases automaticity

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3
Q

class 2

A

beta blocks

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4
Q

what do class 2 blocks beta blockers

A

inhibits dysrythmias mediated by SNS
competes with endogenous catecholamines for receptor sites

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5
Q

class 3 name and action

A

prolongs repoloarization and action potential

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6
Q

Class IV

A

blocks calcium channels

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7
Q

how do class IV calcium channels work

A

atria, sinus, and AV node
depress sinus AV condition and terminates TACHYS

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8
Q

proarrythmic drugs

A

*all of the ones I’m unfamiliar with
- quindine
procaniamide
dofetilide
ibutilide

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9
Q

example of class 1

A

lidocaine

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10
Q

example of class 2

A

metaprolol

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11
Q

example of class 3

A

amiodarone

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12
Q

example of class 4

A

diltiazem

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13
Q

torsades cause

A

long QT
1A and III
electrolytes
subarachnoid hemorrhage

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14
Q

adenosine
* action

A

slows condition through the AV node causing transient AV block

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15
Q

half life of adenosine

A

short

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16
Q

how treat torsades

A

magnesium

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17
Q

chrono affects

A

rate

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18
Q

ino affects

A

contractility

19
Q

epi chromo and ino

A

increase both

20
Q

dig chromo and ino

A

increase ino
decrease chrono

21
Q

dopamine chrono and ino

A

increase

22
Q

beta blocker chromo and ino

A
  • ino
    + chrono
23
Q

dig range

A

very narrow

24
Q

what electrolyte to monitor for dig

A

K
(hypokalemia)

25
Q

vision sign for dig toxicity

A

hallo vision

26
Q

dopamine low dose

A

under 5mcg
- dilate renal and mesentery arteries

27
Q

dopamine high dose

A

over 5mcg
- vasoconstriction, positive isotrope, positive chrono trope

28
Q

dobutamine used for

A

improve contractility in heart failure and cariogenic shock

29
Q

epi is give in what rythms

A

pulseless
- Vtach
- vfib
- PEA
- asytole

30
Q

norepineprhrine should be infused how

A

central line
- extravasation

31
Q

phosphodiesterase inhibiors

A

positive inotrope and vasodilation

32
Q

what is the best vasopressor

A

norepinephrine

33
Q

sodium nitroprusside (nipride)

A

afterload
- vasodilator

34
Q

nitroglycerine

A

reduces cardiac filling pressures
relieves pulmonary congestion
decreased cardiac workload and oxygen consumption

35
Q

atropine works how

A

temporaliy increase heart rate or decrease AV block until definitive intervention can take place

36
Q

what is atropine an antidote for

A

overdose of cholinergic
(doxepine)

37
Q

DHP CCB

A

amlodapine

38
Q

NDHP CCB

A

verapamil and diltiazem

39
Q

angiotensin 2 does what

A

vasoconstrict

40
Q

what are ACEI good for

A

hypertension
diabetic nephropathy
CHF

41
Q

side effects of ACEI

A

cough
angioedema
hyperkalemia

42
Q

ARB ending

A

sartan

43
Q

a adrenergic blockers

A

labetalol
phentolamine
dopamine

44
Q
A