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10 Cards in this Set
- Front
- Back
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Class?
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Endogenous nucleoside, misc. antidysrhythmic
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Description?
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Slows supracentricular tachycardia by decreasing electrical conduction through the AV node without causing negative inotropic effects.
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What does it act directly on?
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Sinus Pacemaker cells and vagal nerve terminals to decrease chronotropic (heart rate) activity.
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What is it the drug of choice for?
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PSVT and can be used diagnostically for stable, wide complex tachycardias of unknows type following 2 doses of Lidocaine.
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Onset and Duration?
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Onset: Immediate
Duration: 10 sec |
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Indications?
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First drug for most forms of narrow complex PSVT in adults and Pedis
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Contraindication?
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2nd or 3rd degree AV block or sick snus syndrome
Hypersensitivity Atrail Flutter, AFIB, VTAC |
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Adverse Reactions?
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light headness,
paresthesias, headache, sweating, palpaitations, CHEST PAIN, flushing, hypotension, shortness of breath, **transcient periods of bradycardia, sinus pause, or bradyasystole Ventricular ectopy (fibrillation, flutter, tachy, torsades Metallic Taste |
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How Supplied?
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Parenteral IV
3mg/mL in 2mL and 5mL flip top vials |
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Dosages for Adults
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Intiail dose: 6mg rapid IV bolus over 1-3 sec followed by 20mL fluse elevate extremity
Repeat dose: if no response is observed after 1-2 min 12mg same way may only repeat once. |
