arrhythmias and ACLS
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meds used in the pulseless VT/Vfib algorithm in ACLS | show 🗑
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meds used in asystole/PEA algorithm in ACLS | show 🗑
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meds used in symptomatic bradycardia algorithm in ACLS | show 🗑
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meds used in tachycardia in ACLS. specifically narrow complex with regular ventricular rhythm | show 🗑
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show | typically afib or flutter. use rate control. non-DHPs or beta blockers or digoxin.
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meds used in tachycardia in ACLS. specifically wide complex that is VT or of unknown mechanism | show 🗑
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show | adenosine
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show | typically QTc >500 ms. torsades. if stable use mag 1-2 g boluses. up to 16 g in 24 hours. if unstable defibrillate. correct electrolytes specifically mag and potassium.
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show | Sodium channel blockers. disopyramide, quinidine, procainamide (double quarter pounder) intermediate
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Class Ib antiarrhythmics | show 🗑
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Class Ic antiarrhythmics | show 🗑
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show | beta blockers - specifically metoprolol, esmolol and atenolol
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show | potassium channel blockers. amiodarone, dronedarone, dofetilide, sotalol, ibutilide
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Class IV antiarrhythmics | show 🗑
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show | beta blockers. only drug with mortality benefit. amiodarone and sotalol also occ. used but no mortality benefit. typically only for altering threshold of ICD firing.
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show | Class Ia and Ic (intermediate and slow sodium channel blockers)
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Which antiarrhythmics should be avoided in acute MI pts | show 🗑
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