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
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