04 Meds: Antidysrhythmics

Front 1

6 classes of antidysrhymics?

Back 1

1. CLASS IA DRUGS
2. CLASS IB DRUGS
3. CLASS IC DRUGS
4. CLASS II DRUGS
5. CLASS III DRUGS
6. CLASS IV DRUGS

Front 2

List Class IA drugs (2)

Back 2

1. Procainamide (Pronestyl)
2. Disopyramine (Norpace)

Front 3

Side effects of Class IA

Back 3

1. Hypotension
2. Heart failure

Front 4

Nursing considerations for class IA antidysrhythmics.

Back 4

1. Monitor BP
2. Monitor for widening of the PR, QRS, or QT intervals
3. Toxic side effects have limited use

Front 5

List class IB antidysrhythmics (3)

Back 5

1. Lidocaine (xylocaine)
2. Mexiletine HCl (Mexitil)
3. Tocainide HCl (Tonocard)

Front 6

Side effects of Class IB antidysrhythmics?

Back 6

1. CNS-slurred speech, confusion, drowiness, seizures
2. hypOtension
3. bradycardia

Front 7

Nursing considerations for class IB antidysrhythmics

Back 7

1. monitor for CNS side effects
2. monitor BP, HR, and cardiac rhythm

Front 8

List class IC antidysrhythmics (2)

Back 8

1. Flecainide (Tambocor)
2. Propafenone HCl (Rythmol)

Front 9

Side effects of Class IC antidysrhythmics?

Back 9

1. Bradycardia
2. hypotension
3. dysrhythmias
4. CNS: anxiety, insomnia, confusion, seizures

Front 10

Nursing considerations for Class IC antidysrhythmics

Back 10

1. monitor for increasing dysrhythmias*
2. monitor HR and BP
3. monitor for CNS effects

Front 11

List Class II antidysrhythmics (4)

Back 11

1. Propanolol (Inderal)
2. Acebutolol (Sectral)
3. Esmolol HCl (Brevibloc)
4. Sotalol HCl (Betapace)

Front 12

Side effects of Class II antidysrhythmics

Back 12

1. bradycardia and hypotension
2. bronchospasm
3. increase in heart failure
4. fatigue and sleep disturbances

Front 13

Nursing considerations for Class II antidysrhythmics

Back 13

1. monitor apical HR, cardiac rhythm, BP
2. assess for SOB and wheezing
3. assess for fatigue and sleep disturbances
4. assess apical heart rate for 1 min before administration

Front 14

List Class III antidysrhythmics (3)

Back 14

1. Amiodarone HCl (cordarone)
2. Ibutilide fumarate (Corvert)
3. Dofetilide (Tikosyn)

Front 15

Side effects of Class III antidysrhythmics

Back 15

1. Hypotension
2. bradycardia
3. AV block
4. muscle weakness
5. tremors
6. photosensitivity/photophobia
7. liver tox

Front 16

Nursing considerations for Class III antidysrhythmics

Back 16

1. Continuous monitoring of cardiac rhythm during IV admin
2. monitor QT interval during IV admin
3. Monitor HR, BP during initation of therapy
4. Instruct client to wear sunglassess & sunscreen

Front 17

List 2 Class IV antidysrhythmics

Back 17

1. Verapamil (Calan)
2. Diltiazem HCl (Cardizem)

Front 18

Side effects of Class IV antidysrhythmics

Back 18

1. bradycardia
2. hypotension
3. dizziness and orthostatis hypotension
4. heart failure

Front 19

Nursing considerations for Class IV antidysrhythmics

Back 19

1. monitor apical HR and BP
2. instruct clients about orhtostatis precautions
3. instruct pt to report signs of HF to HCP