LECTURE #3
JANUARY 24, 2018
CALCIUM CHANNEL BLOCKERS
• Calcium channel blockers are like valium for your heart. Calms theheart
down. Indicators – tachycardia, tacharythmias
• Negative intropic, chronotropic, dromotropic (relax your heart, calm itdown)
• They treat – A (antihypertensives), AA (antianginal), AAA (anti-atrial
arythmia) they treat atrial dysrhythmias and supraventricularcontractions
(SVT)
• Names – majority end in -dipine (amlodipine, nifedipine) & verapamil,
cardizem (can be given as a continuous IV drip)
• Side effects – headache & HYPOtension (take BP before administering,hold if
systolic is <100)
CARDIAC ARRYTHMIAS
• QRS refers to – Ventricular
• P refers to – Atrial
ATRIAL FLUTTER
Rapid P wave repolarizations in a saw tooth pattern
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, ATRIAL FIBRILLATION
chaotic QRS depolarizations, heart rate is irregular
TX: HEPARIN first, then ABCD
VENTRICULAR FIBRILLATION
Chaotic QRS depolarizations
TX: defibrillation (shock them)
VENTRICULAR TACHYCARDIA
Wide bizarre QRS’s
TX: Lidocaine & amiodarone
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