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12 Cards in this Set
- Front
- Back
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What are the indications for procainamide?
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WCT of unknown type
Stable VT Stable PSVT not controlled by adenosine Atrial fibrillation with RVR in the setting of WPW |
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What are the adverse effects of procainamide?
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Myocardial depression, prolongation of the QRS and QT intervals, impairment of AV conduction, VF, torsades de pointes, and hypotension
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What are the indications for lidocaine?
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Alternative to amiodarone in cardiac arrest from VF/VT
Stable monomorphic VT with preserved ventricular function Stable polymorphic VT with normal baseline QT interval and preserved LV function when ischemia is treated and electrolyte balance is corrected Stable polymorphic VT with baseline QT-interval prolongation if torsades suspected |
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When do adverse effects from lidocaine usually occur?
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When the drug is administered too rapidly in a conscious patient, when excessive doses are given, or when drug interaction occurs
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True or false:
Abrupt change in mental status is a classic symptom of lidocaine toxicity? |
True
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What are symptoms of mild lidocaine toxicity?
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Slurred speech, drowsiness, confusion, nausea, vertigo, ataxia, tinnitus, paresthesias, and muscle twitching
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What are symptoms of severe lidocaine toxicity?
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Psychosis, seizures, respiratory depression, and high degrees of sinoatrial or atrioventricular (AV) block
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What are the indications for metoprolol?
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Acute coronary ischemia
Rate control and conversion of PSVT and atrial fibrillation |
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What are the adverse effects of metoprolol (and other beta-blockers)?
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Asthma and COPD exacerbation
Sinus bradycardia AV block CHF |
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What are the indications for propranolol?
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Rate control in SVT
Hyperthyroid emergencies |
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What are the indications for esmolol?
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Rate control and conversion of PSVT and atrial fibrillation
Rate control in combination with nitroprusside in acute vascular emergencies (e.g., aortic dissection) |
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What is the most common adverse effect of esmolol?
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Hypotension
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