Class I Antiarrhythmics (Na+ Channel Blockers) Overview
- Arrhythmias
- Local Anesthesia
- Block or Slow Conduction
- Block Na+ Channels
- Raise Threshold
- State Dependent
- Hyperkalemia
Class IA Antiarrhythmics (Na+ Channel Blockers)
- Arrhythmias
- Increase AP, ERP, and QT interval.
- Disopyramide
- Procainamide
- Drug-induced Lupus
- Quinidine
- Cinchonism
- Thrombocytopenia
- Torsades de Pointes
Class IB Antiarrhythmics (Na+ Channel Blockers)
- Arrhythmias
- After Myocardial Infarction
- Affect Ischemic Tissue
- Decrease AP duration
- Mexiletine
- GI Upset
- Lidocaine
- CNS Depression
- Tocainide
- Phenytoin
- Hirsutism
Class IC Antiarrhythmics (Na+ Channel Blockers)
- Used as Last Resort
- V-Tach
- No Effect on AP Duration
- Propafenone
- Flecainide
- Post-Myocardial Infarction
Class III Antiarrhythmics (K+ Channel Blockers)
- Arrhythmias
- Increase AP Duration, ERP, and QT Interval
- Amiodarone
- Check Function Tests
- Dirty Drug
- Ibutilide
- Dofetilide
- Sotalol
- Beta-Blocker
Class IV Antiarrhythmics (Ca2+ Channel Blockers)
- SVT
- Subarachnoid Hemorrhage
- Decrease Conduction Velocity
- Increase PR Interval and ERP
- Verapamil
- Diltiazem
- Nimodipine
- Cardiovascular
- Constipation
Adenosine (Adenocard)
- Slows AV Conduction
- Supraventricular Tachycardia (Paroxysmal)
- Bradycardia
- Flushing
- Dyspnea
- Rapid IV Push
- Caffeine and Theophylline Decrease Effectiveness
- Dipyridamole May Intensify Effects
Lidocaine
- Blocks Na+ Channels
- Ventricular Arrhythmia
- Anesthetic
- Paresthesias
- Seizures
- Respiratory Depression
- Drowsiness
- Anesthetic Effects Extended with Epinephrine
Magnesium Sulfate
- Muscle Relaxant
- Preterm Labor Contractions
- Preeclampsia
- Warm Feeling
- Hypotension
- Decreased Deep Tendon Reflexes (DTRS)
- Decreased Respiratory Rate
- Decreased Urine Output
- Paralytic Ileus
- Calcium Gluconate
Calcium Channel Blockers (Verapamil and Diltiazem)
- Slows AV Conduction
- Angina Pectoris
- Arrhythmias
- Essential Hypertension
- Bradycardia
- Hypotension
- Constipation
- Peripheral Edema
- Gingival Hyperplasia
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