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Cardiac pharm1 pt 2
Stimulants and Depressants including antiarrhythmic/antidsythmics
| Question | Answer |
|---|---|
| inamrinone lactate(Inamrinone) and mirinone lactate(Primacor) are drugs that are usually only given where? | Given in an intensive care unit as IV infusions |
| furosemide(Lasix) does not mix with these medications, and should not be given in the same IV line as what drugs? | inamrinone lactate(Inamrinone) and mirinone lactate(Primacor) |
| inamrinone lactate(Inamrinone) and mirinone lactate(Primacor)are administered in a loading dose that is mg/kg first and then what? | then as a IV infusion mcg/kg/min |
| Class 1 sodium channel blockers: | procainamide(Pronestyl, Procanbid) |
| Class 1B sodium channel blockers: | lidocaine(Xylocaine) |
| Class IV calcium channel blockers: | verapamil(Calan), diltiazem(Cardizem) |
| Class III potassium channel blockers: | amiodarone(Cordarone, Pacerone) |
| Endogenous glucoside: | adenosine(Adenocard) |
| Lidocaine(Xylocaine) when given IV push is: | rapid onset, and requires constant ECG monitoring during administration. |
| High doses of lidocaine can cause what: | drowsiness, mental statuschanges, paresthesia. |
| Toxic effects of lidocaine(Xylocaine) can cause? | seizures an respiratory arrest. |
| Lidocaine(Xylocaine) can cause respiratory distress and therefore one needs to have what equipment on hand? | Resuscitation equipment; crash cart. |
| Loading dose of lidocaine(Xylocaine) is what? | 1mg/kg and the maintenance dose is ordered as 1-4 mg/min |
| Why can lidocaine(Xylocaine) not be given to those with bradydysrhytmias? | because it can cause excessive depression of the cardiac conduction. |
| In an emergency which an IV site cannot be obtained, how can lidocaine(Xylocaine) be administered? | by way of an endotracheal tube. |
| Antiarrhythmic/antidsythmic agents: | Lidocaine(Xylocaine), Quinidine Gluconate, Procainamide(Pronestyl), Disopyramide(Norpace), Phenytoin(Dilantin) |
| Effectiveness of Quinidine Gluconate on hypokalemic patient is what? | Decreased |
| Effectiveness of Quinidine Gluconate on hyperkalemic patient is what? | Inceased |
| Toxic effects of Quinidine Gluconate are: | tinnitus, nausea, impaired vision, vertigo, possibly hypersensitivity with skin rash worsen, respiratory arrest, vascular collapse. |
| Procainamide(Pronestyl) is used for: | ventricular arrhythmia, atrial fibrillation, and PAT's(Paroxysmal Atrial Tachycardia). |
| Procainamide(Pronestyl)may cause the following reactions: | GI upset, ventricular tachycardia, hypotension, hypersensitivity reaction,Premature ventricular contractions, agranulocytosis, and lupus erythematosis-like syndrome. |
| Patients taking Procainamide(Pronestyl)should be monitored with the following labs: | CBC, and ANA(Antinuclear antibody |
| Disopyramide(Norpace,Rythmodan)is used for oral treatment of: | Cardiac dysrhythmias |
| Disopyramide(Norpace,Rythmodan)may cause anticholinergic effects in some clients therefore should be used with caution in what type of clients? | Clients with urinary retention, glaucoma, or myasthenia gravis. |
| The primary advantage of using Disopyramide(Norpace,Rythmodan)over quinidine or procainamide is: | is a lower incidence of adverse effects than quinidine or procainamide. |
| Phenytoin(Dilantin)is what type of drug? | anticonvulsant drug |
| Phenytoin(Dilantin)has been found to be useful in the treatment of: | cardiac glycoside induced dysrhythmias. |
| Although the FDA has not approved this drug, it does have antidysrhythmic properties? | Phenytoin(Dilantin) |
Created by:
vpf24
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