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16 Cards in this Set
- Front
- Back
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what is drug of choice for A-fib and A-flutter
DOC resp obstruction impaired vent fxn Chronic tx prevention contraindicated drugs |
Beta Blockers - DOC
Ca channel blockers (resp obstruction) Digoxin(impaired vent fxn) Dofetilide(oral) and Ibutilide (IV)- chronic drugs Sotalol for prevention Class IA contraindicated |
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SVT
initial therapy DOC drugs to increase ACh in AV node prophylaxis things to avoid |
initial - sinus massage or Valsalva
DOC - adenosine up ACh - vagal, edrophoium, Phenylephrine, Digoxin esmolol prophylaxis avoid caffiene and cigarettes |
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pre-excitation syndrome or WPW
decrease AV conductoin decrease accessory conduction |
AV - vagal, Ca blocker, Beta blockers, Verapamil, Digoxin (if HF also) - contraindicated if afib/aflutter also
Accessory - Amiodarone, Class IA and IC, beta blockers |
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what are drugs for atrial tachy's that protect CO
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verapamil (IV). propanolol (II). digoxin (V)
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only drug to reduce death in post MI pt
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beta blocker
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PVC
DOC prevention |
no DOC
prev - beta blockers, discontinu smoking, caffeine, alcohol |
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sustained v-tac
DOC alternatives prevention |
DOC - lidocain and Amiodarone
Alt - procainamide, Bretylium, implantabel defib with DC cariovert prev - beta blocks, class IA and IC drugs |
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Vfib
DOC Alternatives |
immediate defibrillation and then Amiodarone (DOC)
Alt - lidocaine, procainamide, bretylium |
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digitalis induced tachy
stop what? DOC alt |
stop digitials and Fab (DOC)
alt - lidocaine, phenytoin |
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Torsades
stop what? DOC Alts |
stop - class IA and III
DOC - Mg sulfate Alt - cardiac pacing, isoproterenol |
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antiarrhythmic that increase survival
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beta blockers class II
K channel blockers class III |
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antiarrhythmic that have No change
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Ca blockers class IV
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antiarrhythmic that decrease survival
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Na channel blockers - class I
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Beta blocker that is ISA
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acebutolol
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what is first line drug in mild to moderate persistant asthma
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Khellin derivatives - Cromolyn Sodium and Nedocrommil Sodium (no good if less than 12)
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what to use to prevent nocturnal symptoms
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long acting beta 2 agonists - salmeterol and formoterol
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