Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
What are the 4 types of Anti-Arrhythmic drugs?
|
Blockers of:
Na Ca K adrenergics |
|
What are 4 Na channel blocking drugs and their classes?
|
Procainamide (IA)
Quindine (IA) Lidocaine (IB) Flecainamide (IC) |
|
What are two K channel blocking drugs?
|
Amiadarone
Dofelitide |
|
Which drugs cause torsades de pointes
|
Quindine
Flecainamide Amiadarone Dofetilide |
|
What is an alternative to Amiadarone and what are its benefits?
|
Dronedarone
- no thyroid toxicity - shorter half-life |
|
How do beta blockers work?
What is the effect? |
reduce intracellular Ca
slowed AV conduction time --> ERP --> terminate reentry |
|
What does Adenosine do?
|
^ K+ current
reduce Ca current --> slow AV conduction |
|
What does Digoxin do?
|
- block Na/K ATPase
- slow Na/Ca extruder - Ca buildup --> overload SR - spontaneous release |
|
Which drugs are used primarily for:
1) SVT 2) VT |
1) adenosine & K/Ca blockers
amiodarone dofetilide diltiazem verapamil 2) Na blockers |
|
What is special about Dofetilide?
|
Pure K+ blocker
- acts only in heart - a-fib/flutter |
|
What are 2 features of SVT on ECG?
|
narrow QRS complex
no visible P-waves |
|
Treatment options for arrhythmia
1) acute management 2) chronic management (2) |
1) rate control (elec/chem cardioversion)
2) a) drug therapy (BB, Ca block, IC) b) catheter ablation |