Term
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Definition
- Any disturbance in Normal Cardiac rhythm (Can be slow or fast)
- Irregularity but it is irregularly regular for some patients
- Ask patients of any History of any____________.
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Term
What are some causes of dysrhythmias? |
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Definition
- Fluid in pericardium
- Hypoxia
- Diet
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Term
What are some signs of dysrhythmia? |
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Definition
- Patient may complain of skipping a beat
- Felt like being jolted
- SOB
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Term
| What are 4 classes of Antidysrhythmics? |
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Definition
1st Class: Membrane Stabilizers
(Most are sodium channel blockers)
2nd Class: Beta-Blockers (adrenergic blockers)
3rd Class: Prolonged Repolarization
(Potassium Channel Blocker)
4th Class: Calcium Channel Blockers (CCB) |
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Term
1st Class of Dysarrythmias |
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Definition
This class of antidysarrhytmias:
- decreases heart irritability
- slow heart rate
- slows inward current that is caused by sodium
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Term
Which 3 drugs fall into 1st class of dysarrythmias?
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Definition
- Procainamide
- Norpace
- Quinidine
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Term
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Definition
- For: Atrial or Ventricular tachycardia dysarrhythmias
- Slows heart irritability
- Most affective in suppressing and decreasing PVC (premature ventricular contractility)
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Term
What are complication of Procainamide?
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Definition
- can cause Lupus Syndrome
- Skin issues
- Decrease immunity
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Term
What are side effect of Procainamides? |
|
Definition
- N/V & Diarrhea
- decrease in appetite
- anorexia
- itching
- flushing in skin
- Leukopenia and Fever
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Term
|
Definition
- For: Ventricular dysarrythmias
- Has anticholinergic affects: (SLUDGE=dry)
- Causes Hypotension
- Decreases chances of Lupus Syndrome
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Term
What are Quinidine complications? |
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Definition
- Hearing loss, tingling in ears
- vertigo
- Syncopy
- Increases potassium levels
s/e: syncable episode
1st give a testing dose & then give in small amounts
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Term
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Definition
- Aids in decreasing BP
- Blocks or Slows sympathetic Nervous Stimulation of Heart
- Decreases HR by increasing contractility (elasticity) of Heart Muscle
- Used for MI: b/c slows HR & decreases CO
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Term
What are the 5 common Beta-blockers (Class 2) drugs? |
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Definition
- Tenormin
- Lopressor + HCT2
- Inderal
- BetaPace
- Brevibloc
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Term
|
Definition
Decreases BP
used with angina
decreases 25% mortality rate post MI |
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Term
|
Definition
- decreases BP
- For MI
- Hypertension
- When given with HCT2 diuretics:
- monitor labs
- kidney function prior to administering
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Term
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Definition
- Decreases HR
- Angina
- MI
- Ventricular tachycardia
- Migraine
- Oldest drug in Class II
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Term
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Definition
Document life threatening dysrhythmias because it can cause new dysrhythmias.
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Term
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Definition
- Short Acting Beta-blocker
- Ventricular dysarrythmias
- Hypertension
- Not used w/ CHF patient
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Term
What are the 3 common drugs for class III? |
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Definition
- Amiodarone
- Covert
- Bretylium
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