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28 Cards in this Set
- Front
- Back
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Use w/caution in HF
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Disopyramide
Flecainide |
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Use w/caution in SA or AV node dysfxn
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Digitalis, verapamil, Beta blocker, amiodarone
Dilitiazem |
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Use w/caution w/WPW (Wolff-Parkinson-White) syndrome
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Digitalis, verapamil, diltiazem
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What is WPW syndrome?
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extra conduction pathway, the electrical signal may arrive at the ventricles too soon.
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Use caution w/SA or AV nodal conduction dz
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Lidocaine, amiodarone
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Use w/caution w/aortic/subaortic stenosis
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Bretylium
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Use w/caution if hx of MI
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Flecainide
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Use w/caution if QT interval is prolonged
(6) |
Quinidine
Procainamide Disopyramide Sotalol Dofetilide Amiodarone |
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Use with caution in cardiac transplant pts.
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Adenosine
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Use with caution in pts. w/diarrhea
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Quinidine
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Use with caution in pts with prostatism or glaucoma
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Disopyramide
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Use with caution in pts with arthritis
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Chronic procainamide
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Use with caution in pts w/lung dz
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Amiodarone
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Use with caution in pts with tremor
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Mexiletine, tocainide
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Use with caution in pts w/constipation
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Verapamil
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Use with caution in pts w/asthma, peripheral vascular dz, or hypoglycemia
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Beta blockers
Propafenone |
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Side effects of Progainamide
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Long QT
hypotension torsades de pointes lupus-like syndrome |
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SE of lidocaine
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confusion
diszziness seizures |
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SE of amiodarone
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Long QT
Hypotension Decreased cardiac contractility Hyper/hypothyrodism Increased liver enzymes Peripheral neuropathy Headache Corneal microdeposits Testicular dysfxn Skin discoloration |
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Drug interxns w/procainamide
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Unknown
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DI of Lidocaine
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Beta blockers and cimetidine decrease clearance of lidocaine
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Amiodarone DI
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(-) hepatic metabolism and renal elimination
(-) CYP 3A4, 2C9, and p-glycoprotein |
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Which drugs need to be reduced when given with Amiodarone?
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Warafin, digoxin, flecainide, procainamide, and quinidine
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DI of Adenosine
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Unknown
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DI of Verapamil
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Increase plasma digoxin (diltiazem does this too) by competing for renal excretion
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DI of Digoxin
-This drugs increased plasma concentration (10) |
Verapamil
diltiazem amiodarone quinidine cyclosporine intraconazole propafeone flecainide spironolactone eplerenone |
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What can potentiate digoxin-induced arrythmias
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hypokalemia
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Lidocaine is a ... channel blocker that is used most commonly to treat...arrhythmias in ER situations
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IB Na+
V-tach |
