Cardiac dysrhythimic treaments
A-Fib treatment
Anticoagulants (Warfarin)
HR meds (digoxin, beta blockers)
Secondary prevention: cardioversion, ablationm antiarrythmic, watchman procedure
Furosemide
Category, indication, therapeutic effect/action
Loop diuretic
for edeman and HTN
Decreases blood pressure
Category and action
suppresses normal immune response
used systemically and locally in chronic diseases
Rheumatoid diseases, lupus
burning & scarring tissue responsible for the irregular rhythm
Ablation
NOT an NSAID
nonopidod analgesic & antipyretic
for mild to moderate pain and fever
can cause liver damage
acetaminophen
No P waves
Multiple pacemaker called shooting random electrical impulses
"irregularly irregular"
What is A-Fib
Prednisone
Category and action
Anti-inflammatory Steroid
Supresses normal immune response
Used systemically
Potassium-sparing diuretic
"water pill"
prevents body from absorbing too much salt & keeps potassium levels from getting too low
treats HTN, CHF, and hypokalemia
Spironolactone
Cardioversion
-prazole
antiulcer agent
prevents gastric secretions in the final stage
relieved GERD/ acid reflux
PPI (proton pump inhibitor)
Patient will be pulseless
Treament: CPR, epinephrine, treat cause
Asystole
Dantrolene
category
prophylactic/ treatment for ____
action
Skeletal muscle relaxant
treats malignant hyperthermia
decreases muscle spas
Digests food for you
Emptys stomach before a surgery
Decreases N/V
metoclopramide (Reglan)
Treatment for symptomatic bradycardia
<60 bpm
atropine 0.5mg IVP
oxygen (if needed)
Opioid side effects
respiratory depression, constipation, sedation, n/v, tolerance, dependance
Complications of A-Fib
Clotting
Increased risk of stroke / PE
chemotherapy / immunosuppressant
avoid sun exposure
wear SPF 50 daily
Breastfeeding and pregnancy contraindicated
Methotrexate
clopidogrel (Plavix)
category, action, indication
anti-platelet
blood thinner
for MI, stroke
Supraventricular Tachycardia
HR & treatment
150-280 bpm
Vagal maneuver
Cardioversion (if unstable)
Adenosine
antiarrythmic med used to treat increase HR
atropine
Ventricular tachycardia treatment
Treatment based on if the patient has a pulse or is pulseless
Pulse: amiodarone (antiarrhythmic), electrolyte replacement, cardioversion
Pulseless (cardiac arrest): CRP & defibrillation
Loop diuretic
Treats HTN and edema
Decreases BP
Furosemide
relaxes veins & arteries to lower BP in HTN
ACE inhibitors
How to prepare a patient for an exercise ECG (stress test)
NPO 4 hours prior
No smoking
No caffiene
Only take meds ok'd by doctor
Shave chest for electrodes (if necessary)
anticoagulant
prevents thromboembolic events
measured by PT/INR labs
warfarin (Coumadin)