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Arrhythmias

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Question (memorize) Answer (memorize)
Sinus bradycardia Atropine, Isoproterenol, Epinephrine
Sinus Tachycardia Propranolol, Esmolol
Mulifocal Atrial Tachycardia Quinidine, Verapamil
Premature Atrial Depolarization Quinidine, Procainamide, Disopyramide
Control Atrial Flutter Digoxin, Propranolol, Verapamil
AV reentry Digoxin, Propranolol, Verapamil
Atrial Fibrillation: control ventricle Digoxin, Propranolol, Verapamil
Convert Atrial Flutter Procainamide IV
Convert Atrial Fibrillation Procainamide IV, Sotolol, Propafenone, Amiodarone, Ibutelide, Dofetalide
Wolf-Parkinson-White Procainamide
PVC usually not treated; acute: Amiodarone IV, procainamide IV; long term: class 1 agents
V Tach: acute tx Procainamide IV, Amiodarone IV
V Tach: chronic tx Quinidine, Amiodarone, Procainamide, Disopyramide; Mexeletine; Sotalol, Tocainide
V Fib Epinephrine then defibrillation. Next try Amiodarone IV, then defib.
Supraventricular Tachycardia Adenosine IV

 

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