Arrhythmia

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Author:
evelngo
ID:
159601
Filename:
Arrhythmia
Updated:
2012-07-30 14:45:32
Tags:
Arrhythmia
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Brand/Generic
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  1. Class I anti-arrhythmics block which channels?
    Sodium Channels
  2. Class II anti-arrhythmics block which channels?
    Calcium channels (indirect effect)
  3. Class III anti-arrhythmics block which channels?
    Potassium channels
  4. Class IV anti-arrhythmics block which channels?
    Calcium channels
  5. Although Amiodarone is considered a class III anti-arrhythmic, what other channels does it block?
    Sodium and Calcium channels
  6. List Class Ia anti-arrhythmics:
    • - Quinidine gluconate/sulfate/polygalacturonate
    • - Procainamide
    • - Disopyramide
  7. List Class Ib anti-arrhythmics:
    Lidocaine
  8. List Class Ic anti-arrhythmics:
    • - Flecainide
    • - Propafenone
  9. List class II anti-arrhythmics:
    • Beta-blockers:
    • -Metoprolol
    • -Esmolol
    • -Propranolol
  10. List class III anti-arrhythmics:
    • -Sotalol
    • -Amiodarone
    • -Ibutilide
    • -Dofetilide
  11. List class IV anti-arrhythmics:
    • -Verapamil
    • -Diltiazem
  12. Micellaneous anti-arrhythmics:
    • Atropine
    • Adenosine
    • Digoxin
    • Donedarone
  13. Quinidine GLUOCONATE (5)
    • Quinaglute, Dura-Tabs, Duraquin, Quinalan, Quinatime
    • (not recommended IV)
  14. Quinidine SULFATE (4)
    Quinidex, Extentabs, Cin-Quin, Quinora
  15. Quinidine POLYGALACTURONATE
    Cardioquin
  16. Procainamide
    Pronestyl
  17. Disopyramide
    Norpace
  18. Flecainide
    Tambocor
  19. Propafenone
    Rythmol
  20. Esmolol
    Brevibloc
  21. Amiodarone (3)
    Cordarone, Pacerone, Nexterone
  22. Sotalol
    Betapace
  23. Ibutilide
    Corvery
  24. Dofetilide
    Tikosyn
  25. Digoxin
    Lanoxin, Lanoxicaps
  26. Dronedarone
    Multaq
  27. If AF is present for > 48 hours or unknown duration, anticoagulat with warfarin for _____ weeks prior to cardioversion, and continue for at least _____ weeks after sinus rhythm has been restored.
    3; 4
  28. Prior to cardioversion, patients must receive _____ or ______. Once sinus rhythm restored, patients should receive warfarin for at least _______ weeks.
    Unfractionated heparin; Low molecular weight heparin; 4
  29. What does CHADS2 score represent?
    It determines the risk of stroke in patients with AF

    • C = CHF = 1 point
    • H = HTN = 1 point
    • A = Age over 75 = 1 point
    • D = Diabetes = 1 point
    • Stroke or TIA = 2 points
  30. What are the treatments recommended for a score of 0, 1, and >/equal to 2.
    • 0 = ASA 81-325 mg/day
    • 1 = 81 - 325 mg/day OR warfarin INR 2-3
    • >2 = warfarin INR 2-3
  31. If patient do not want to take warfarin or if risks outweigh benefits, addition of ___________ can be added to ASA therapy.
    Clopidogrel
  32. Which two genes account for variablity in warfarin therapy if mutated?
    CYP2C9 & VKORC1

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