1-      What is a Holiday heart? 

-          Acute alcohol withdrawl that causes A. Fib

1-      What are some symptoms of A.Fib? 

-          Fatigue, Palpitations

What would you expect to find on the ECG of an A.Fib patient? 

-          Tachy, irregular, narrow complex QRS, no one specific P wave

What are some things that can cause A. Fib? 

-          Age, HTN, CAD, dilated cardiomyopathy, Thyroid disorders

1-      What would you want to give to slow the heart rate in a patient with A.Fib? 

Metropolol

1What would you want to use for cardioversion of someone with A.Fib?

   Phenytoin is metabolized by what enzyme?

Phenytoin does what type of pharmacokinetics? 

The Phenytoin side effect of gingival hyperplasia is most likely caused by what? 

-          The fact that it’s a Calcium channel blocker

  What is the active lidocaine metabolite?

 Monoethyglycinexylide

 Acetly- Procaine- Amide (NAPA) blocks which of the ionic channels? 

-          Potassium

 What type of Calcium channel blocker is Diltiazem? 

-          Benzothiazepine

What does diphyridamole do? 

-          It is an adenosine reuptake inhibitor

Digoxin increases the extracellular concentration of what ion?

What drug makes green urine?

What drug discolors body fluids to an orange color?

    Acute digoxin toxicity is treated best with what? Digibind-

   What would you give to an Acute Tachy WPW?

  What would you avoid giving an Acute WPW?

What long term treatment would you use for a patient with WPW?

What is the heart rate you would expect in a typical SVT?

What are some mechanical maneuvers you can do to treat SVT?

 What is your number one drug of choice to SVT? What are two other classes you can use?

- Adenosine

-          Beta blocker- Specifically Esmolol

-          CaCB- Verapamil or diltiazem

-          You want to prevent clot formation

-          Treat with heparin when they enter ER

-          If patient is known to have a clot already do NOT cardiovert, treat rate and anticoagulate

What does A. Flutter look like on an ECG?

What drugs would you want to use in the Acute treatment of A. Flutter?

-          Class 1 (Quinidine, Procainimide)

-          Class 3- Ibutilide

    What would you use for long term treatment of A. Flutter?

       Verapamil and diltiazem

-          Amnioderone

-          Must give anti-coag

What is the rate that you would expect for A flutter on ECG?

  What is the normal rate of a Junctional arrhythmia?

 What is Bigemmy?

  What is Trigeminy?

 How should you treat someone with PVCs that does not have symptoms?

If a patient has PVCs and is symptomatic what would you give?

-          Beta blocker- First choice

-          Class 1a- last resort because of dangerous side effects

    What would you expect the ECG of someone in V. Tach to look like?

 What is the official definition of V. Tach?

   Is V. Tach associated with Syncope?

  What is the rate you would expect for V. Tach?

What is a famous form of V. Tach that is caused often by a long QT interval?

  What electrolyte imbalances can cause Torsades?

   What drugs would you give in acute V. Tach?

-          Amnioderone

-          Procainamide

What is the name of the autosomal dominant disorder that can cause prolonged QT?

What is the name of the autosomal recessive disorder that can cause prolonged QT?

 What is the characteristic feature of Sick sinus syndrome?

-          Fibrosis of SA node

-          Rarely experience syncope

-          Might have dizziness, confusion, palpitations, Heart failure or angina