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16 Cards in this Set

  • Front
  • Back
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
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
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
what are drugs for atrial tachy's that protect CO
verapamil (IV). propanolol (II). digoxin (V)
only drug to reduce death in post MI pt
beta blocker
PVC

DOC

prevention
no DOC

prev - beta blockers, discontinu smoking, caffeine, alcohol
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
Vfib

DOC
Alternatives
immediate defibrillation and then Amiodarone (DOC)

Alt - lidocaine, procainamide, bretylium
digitalis induced tachy

stop what?
DOC
alt
stop digitials and Fab (DOC)

alt - lidocaine, phenytoin
Torsades

stop what?
DOC
Alts
stop - class IA and III

DOC - Mg sulfate

Alt - cardiac pacing, isoproterenol
antiarrhythmic that increase survival
beta blockers class II

K channel blockers class III
antiarrhythmic that have No change
Ca blockers class IV
antiarrhythmic that decrease survival
Na channel blockers - class I
Beta blocker that is ISA
acebutolol
what is first line drug in mild to moderate persistant asthma
Khellin derivatives - Cromolyn Sodium and Nedocrommil Sodium (no good if less than 12)
what to use to prevent nocturnal symptoms
long acting beta 2 agonists - salmeterol and formoterol