PDI
Med names
Amrinone
Milrinone
Class 1a?
Procainamide
Drug name
Amiodarone
Drug name
Calcium channel blockers
Vetapamil
Diltiazem
Med name
Adenosine
Indication
Acute heart failure with reduced EF
Black box warning for class 1a?
Lupus syndrome
ANA titer
Prosthetic effects
Black box warning
Proarrhythmic effects
Pulmonary toxicity
Hepatotoxicity
Indications
Arrthymias
HTN
Angina
Indications
Tachydysthrythmia
Side effects
Dysrththmias
Hypotension
Class 1b?
Lidocaine
Who can’t take these
Pregnant women
Side effects
Dysrththmias
Onset?
Few seconds under 10 seconds
Another med for acute heart failure
dobutamine
Side effects for class 1b?
CNS effects
Patient education
Avoid grape juice
HR <60
BP systolic <100
How to administer
Centrally
What is dobutamine and how do you give it
IV only
Vasopressor
Beta 1 agonist
class 1c
Flecainide
What to know
Last months set
Assess HR and BP prior
What to monitor for
HR and BP
What to do when patient is on med
Cardiac monitoring (ECG)