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10 Cards in this Set
- Front
- Back
Shorten phase 3 re-polarization, Fast disassociation from Na Channels, Used in arrhythmia s/p ischemic cardiac event. Class and examples
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Class IB (Lidocane, Mexilitne, and Tocainide)
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Increase AP duration, Increase relative refractory period, Good for both atrial and ventricular arrhythmia, (reentrant and ectopic). Class and examples
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IA (Quinidine, Procainide[SLE like symptoms], Disopyramide)
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No effect on AP duration, useful in V tach, good for patients with structural abnormalities. Class and examples and Contra?
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IC (Flecainide, Encainide, Propafenone) Contra s/p MI
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Hyperkalemia causes an increase in toxicity of which antiarrhithmics?
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All Class I
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Decrease cAMP, Decrease Ca2+ currents, Decrease slope of phase 4.
Class and examples |
Class II (Beta blockers), Propranolol, esmolol, metoprolol, atenolol, and timolol.
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Increase AP duration, Increase Effective Refractory period, Increase QT. Cause Torsade de points.
What to check? Class and Examples |
Class III K+ blockers (Sotalol, ibutilide, bretylium, dofetilide, amiodarone) Check, PFT, LFT, and TFT
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Pt. con cardiac hx on "some med" has pulmonary fibrosis, hepatotoxicity, and thyroid problems. Durg?
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amiodarone (doesn't cases torsade de points)
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Primalry affect AV nodal cells, Decrease conduction velocity, Increase Effective Refractory period, Used for nodal arrhithmias. Class and examples
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Class IV (Ca2+ blockers: Verapamil and deltiazam).
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Toxicity of a cardiac drug that causes flushing, hypotension, and chest pain. Short acting. Used to diagnose/abolish Supravent. Tach.
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Adenosine
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Ca2+ channel blockers that are vasodialators that don't affect conduction?
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Nifedipine, and Amylodipine.
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