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28 Cards in this Set

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Use w/caution in HF
Disopyramide
Flecainide
Use w/caution in SA or AV node dysfxn
Digitalis, verapamil, Beta blocker, amiodarone

Dilitiazem
Use w/caution w/WPW (Wolff-Parkinson-White) syndrome
Digitalis, verapamil, diltiazem
What is WPW syndrome?
extra conduction pathway, the electrical signal may arrive at the ventricles too soon.
Use caution w/SA or AV nodal conduction dz
Lidocaine, amiodarone
Use w/caution w/aortic/subaortic stenosis
Bretylium
Use w/caution if hx of MI
Flecainide
Use w/caution if QT interval is prolonged
(6)
Quinidine
Procainamide
Disopyramide
Sotalol
Dofetilide
Amiodarone
Use with caution in cardiac transplant pts.
Adenosine
Use with caution in pts. w/diarrhea
Quinidine
Use with caution in pts with prostatism or glaucoma
Disopyramide
Use with caution in pts with arthritis
Chronic procainamide
Use with caution in pts w/lung dz
Amiodarone
Use with caution in pts with tremor
Mexiletine, tocainide
Use with caution in pts w/constipation
Verapamil
Use with caution in pts w/asthma, peripheral vascular dz, or hypoglycemia
Beta blockers
Propafenone
Side effects of Progainamide
Long QT
hypotension
torsades de pointes
lupus-like syndrome
SE of lidocaine
confusion
diszziness
seizures
SE of amiodarone
Long QT
Hypotension
Decreased cardiac contractility
Hyper/hypothyrodism
Increased liver enzymes
Peripheral neuropathy
Headache
Corneal microdeposits
Testicular dysfxn
Skin discoloration
Drug interxns w/procainamide
Unknown
DI of Lidocaine
Beta blockers and cimetidine decrease clearance of lidocaine
Amiodarone DI
(-) hepatic metabolism and renal elimination

(-) CYP 3A4, 2C9, and p-glycoprotein
Which drugs need to be reduced when given with Amiodarone?
Warafin, digoxin, flecainide, procainamide, and quinidine
DI of Adenosine
Unknown
DI of Verapamil
Increase plasma digoxin (diltiazem does this too) by competing for renal excretion
DI of Digoxin
-This drugs increased plasma concentration (10)
Verapamil
diltiazem
amiodarone
quinidine
cyclosporine
intraconazole
propafeone
flecainide
spironolactone
eplerenone
What can potentiate digoxin-induced arrythmias
hypokalemia
Lidocaine is a ... channel blocker that is used most commonly to treat...arrhythmias in ER situations
IB Na+
V-tach