Mercy Antidysrythmics
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| Adenosine/Adenocord | endondenous nucleotide | Convert PSVT to NSR, may convert PSVT to WPW | sensitivity to adenosine 2nd or 3rd degree HB Aflutter/Afib VT | 6mg 1-3 sec; if no response 12 mg 1-3 sec, Max Dose: 30mg | IV | Facial flushing, SOB, CP, H/A, paresthesia, diaphoresis, palpitations, hypotension, nausea, metalic taste
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| Amiodarone/pacerone/carderone | (atrial and ventricular antidysrythmic) K+ channel blocker. class 3 | Vfib refractory defib and Lidocaine, VT refractory to cardioversion and lisocaine | 2nd and 3rd degree HB profound bradycardia med-induced Ventricular dysrythmias Hypotentsion, bradcardia, Torsades | live: 150mg over 10 min cardiac arrest: 300mg fast | IVP | Hypotension, bradycardia, PEA, CHF, Nausea, fever, thrombocytopenia
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| Bretylium/bretylol | (blank) | (blank) | (blank) | (blank) | (blank) | (blank)
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| Diltiazem/cardizem | class IV, CCB, antidysrythmic | control of rapid ventricular rates due to Aflutter, Afib, PSVT, Angina Pectoris | 2nd or 3rd degree HB, hypotension, sick sinus, cadiogenic shock, wide complex tach | 0.25mg/kg IV over 2 min, may rebolus in 15 min at 0.35mg/kg over 2 min | IVP | (blank)
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| Lidocaine/xylocaine | class 1B Na+ chanel blocker | Vtach, VFib, PVC | 2nd or 3rd degree HB, hypotension, stokes adams | Arrest, VF/VT 1.5mg IVP q 3-5 to MAX 3mg/kg VT w/ pulse 1-1.5 mg /kg then 0.5-0.75 mg/kg q5- 10 to max of 3mg/kg. PVC w/ pulse 0.5-1.5 mg/kg IV then 0.5-.5mg/kg q5-10 max 3mg/kg | (blank) | ch, seizures, AMS, Blurred vision, bradycardia, lightheadedness
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| Mag Sulfate/ MgSO4 | Electrolyte | Seizures of eclampsia, Torsades, Hypomagnesemia, TCA OD, DIG induced arrythmia, Class IIa refractory VF/VT after lidocaine | Heart blocks and renal disease | seizures- 1-4gm IVP over 3 min.. Torsades or refractory VF/VT 1-2 gm IVP over 1-2 min | IVP | Respiratory depression, CNS depression, Facial Flushing, diaphoresis, Cardiac collaspe, Arrest, asystole, hypotension, depressed reflexes
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