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Exam (elaborations)

IBHRE CEPS 2023:

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  • Course
  • IBHRE CEPS
  • Institution
  • IBHRE CEPS

Exam of 7 pages for the course IBHRE CEPS at IBHRE CEPS (IBHRE CEPS 2023:)

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  • October 4, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • IBHRE CEPS
  • IBHRE CEPS
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leonardmuriithi061
IBHRE CEPS 2023:

what is the common name for Versed - ANSWER midazolam

standard adult dose of atropine - ANSWER .04 mg/kg

how much NPH insulin should a patient be administered prior to an EP study? (they
are fasting think about blood sugar) - ANSWER half dose

What is the elimination half life of amiodarone? - ANSWER 4-8 weeks

how long should an anti arrhythmic drug be discontinued prior to EP study? -
ANSWER 4 half lives

what do class I drugs primarily affect? - ANSWER sodium channel

what do class 1 drugs effect on sodium channels primarily do? - ANSWER slope of
phase 0 (depolarization speed)

slow conduction velocity and increase refractoriness - ANSWER Class 1A drugs

drugs that shorten refractory periods - ANSWER Class 1B drugs

pronounced depressants on conduction velocity - ANSWER Class 1C drugs

What class antiarrhythmic are beta blockers - ANSWER class II drugs

Prevent catecholamine-mediated action on the heart, blocks sympathetic nervous
system cardiac effects (no effect on AP, decreases sympathetic tone) - ANSWER
Class II Drugs (Beta Blockers)

increase AP duration by increasing refractoriness but do not affect conduction
velocity - ANSWER `class III drugs

calcium channel blockers (primarily affecting SA and AV nodes) - ANSWER class IV
drugs

digitalis agents that are used to increase parasympathetic activity - ANSWER Class
V drugs

procainamide, disopyrimidine, quinidine - ANSWER Class IA drug examples

Lidocaine Mexiletine - ANSWER Class IB drug examples

Flecainide, Propafenone, Encainide - ANSWER Class IC drug examples

propanolol, metoprolol, atenolol, esmolol - ANSWER Class II antiarrhythmic drug
examples (beta blockers)

, amiodarone, ibutilide, sotolol, dofetilide - ANSWER class III drug examples

Verapamil, Diltiazem - ANSWER Class IV drug examples

what is the ratio that heparin and protamine counteract eachother? - ANSWER 1:1
(10 mg/1000 units)

INR needed for heparinizing a left sided case - ANSWER 2.0-3.0

what part of the coagulation cascade does heparin block? - ANSWER prothrombin to
thrombin

when is heparin usually administered during a case requiring a transeptal puncture?
- ANSWER after gaining venous access

what can happen if procainamide is administered too quickly? - ANSWER
hypotension

why discontinue Xarelto and Dabigatran (two anticlotting medications) prior to AF
procedure? - ANSWER no known reversal agents

what is the brand name for apixaban - ANSWER eliquis

rivaroxaban - ANSWER what is the common name for xarelto

Dabigatran (direct thrombin inhibitor) - ANSWER pradaxa

Anticoagulant bloodthinner, Vitamin K Antagonist - ANSWER Warfarin (Coumadin)

antiplatelet like aspirin, onset of action is slow - ANSWER Clopidogrel (Plavix)

Anticoagulant, Direct Thrombin Inhibitor - ANSWER Dabigatran (Pradaxa)

anticoagulant, Factor Xa inhibitor - ANSWER Rivoroxaban (Xarelto), Apixaban
(Eliquis)

antiplatelet, glycoprotein IIb/IIIa inhibitor - ANSWER abciximab, eptifibatide, tirofiban

anticoagulant, block Vitamin K - ANSWER warfarin, coumarin

antiplatelet, COX/ thromboxane inhibitor - ANSWER aspirin, diprydamole

oral anticoagulation prior, heparin for the procedure, resume oral anticoagulation
post procedure - ANSWER bridging anticoagulation

inhibits platelet aggregation, indirect antithrombotic (inhibits prostaglandin synthesis
of thromboxane A2) - ANSWER aspirin actions

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