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4 Cards in this Set

  • Front
  • Back
Dysrhythmia
-Can change what the heart muscles are doing
-Disturbance of normal electrical conduction system of the heart, resulting in abnormal HR
-Must use EKG to identify
-Causes: Abnormal firing of pacemaker cells or blockage of normal electrical pathways
Antidysrhythmic Drugs
Primary purpose: Treat abnormal electrophysiologic function

Drugs:
phenytoin/Lidocaine (P)
moricizine
quinidine/Quinine Water
flecainide
Beta adrenergic Blockers
Sotalol
Amiodarone
verapamil & diltiazem (Ca Channel Blockers)
bretylium tosylate-(monitor closely)
Adenosine-(monitor closely)
Antidysrhythmic SE
HA, dizziness, nausea, blurred vision w/ amiodarone, photosensitivity, blue-gray skin discoloration
Nursing Considerations
-Have emergency equipment readily available
-Monitor ECG for changes
-Monitor HR, BP, general well-being, skin breath sounds
-Monitor serum electrolyte levels (K+, Ca, Mg)
-Caution patients that sudden withdrawal of meds may be life threatening