Ppt on antiarrhythmic medications

Manifestation of Novel Social Challenges of the European Union in the Teaching Material of Medical Biotechnology Master’s Programmes at the University.

associated changes: Decrease in the albumin concentration (by 10%).Consequences: Free plasma drug level increases by about 10% (medication with narrow therapeutic range, e.g. digoxin); In case of simultaneous administration of multiple drugs, the rate of/ age: 1Increased responsiveness 1Increased responsiveness while taking ACE-inhibitor, CCB (Ca channel blocker), coumarins. Digoxin and antiarrhythmics: alterations in Na/K-ATPase and Ca 2+ channels lead to enhanced toxicity Opiates: may suppress respiration./


Medication Therapy Management (MTM) Strategies for the Pharmacist- Geriatric Patient Interventions: Concepts to Cases James W. Cooper, Jr, RPh, PhD, BCPS,

Sou Med J 1999) 1. Cardiovascular agents- diuretics, K- altering Tx, digoxin, antihypertensives, antianginals, antiarrhythmics 2. CNS-active agents- antipsychotics, anxiolytics, CNS stimulants, ---> 2. Cont’d- antidepressants, anticonvulsants, / or shuffling gait___2 Confusion/delirium/disorientation___2 Agitation/increased anxiety___2 SUB-TOTAL=_____________ Fall Risk- meds Medications:cardiac (1), antihypertensives (1),diuretic(1),antipsychotic-or metoclopramide(2),hypnotics(2), antidepressant or/


Adult II 2015 Emergency Medications. National EMS Education Standard Competencies Emergency Medications Names Effects Indications Routes of administration.

Be familiar with liter flow and each type of delivery device used. Phenytoin (Dilantin) Classification: Antiepileptic, antiarrhythmic group Ib. Mechanism of action −Promotes sodium efflux from neurons −Effective in treating cardiac arrhythmias, especially /often used in hypovolemic shock states Crystalloid solutions are used for: −Electrolyte replacement −A route for medication −Short-term intravascular volume expansion Dextran Mechanism of action −Sugar-containing colloid used as an intravascular volume/


Systemic medications and their ocular side effects Jennifer Tordilla-Wadia, M.D. Vitreoretinal Surgeon James A. Haley Veterans Hospital Tampa, Florida.

receptor and modulates function Ocular Side Effects Blurred Vision Diplopia Mydriasis Conjunctivitis What are some medications used for the following associated with CHF? Antiarrhythmics Amiodarone (Cordarone) Photosensitizer, tendecy towards lipid storage in the cornea and lens Dose/months – <10% bothered by blurred vision or haloes Anterior and posterior subcapsular lens changes Optic neuropathy Antiarrhythmics Digoxin (Digitek ) Inhibition of Na+K+ ATPase which plays a vital role in maintaining normal /


RTI International RTI International is a trade name of Research Triangle Institute. www.rti.org 2012 NCHS/SAMHSA Data User Conferences Medical Emergencies:

Statistics and Quality, SAMHSA, Drug Abuse Warning Network, 2010. RTI International  PIMs – Potentially inappropriate medications – Clinical evidence of adverse outcome – Known safer, alternative treatment/therapies  Balance of risks versus benefits/Traumatic Stress Disorder Schizoaffective Disorder Schizophrenia Tourettes Syndrome RTI International PIM increasing – Antiarrhythmic Amiodarone 2010 Rate % change % of total TG Antiarrhythmics 16.4170%100% PIMs amiodarone10.5308%64% sotalol3.5NC21% 17 SOURCE:/


Drugs Contraindicated in Dementia

Anderson H 1994, Bottner RK 1985, Fishbain DA 1987, Ritchie IH 1997 CV DRUGS ACUTE CHANGE IN MS Clonidine Digoxin Antiarrhythmics (PDQ) Beta-blockers Calcium Channel Blockers Refs: Hoffman & Ladogana 1981; Jacobson et al. 1987; Eisendrath & Sweeney 1987/ TAKE AWAY GUIDELINES for Medication Reduction JUST DO IT Caution: Taper Clonidine, B-blockers, Reserpine, Narcotics, BDZ’s, Corticosteroids, Barbituates Careful but DO IT (esp if pt in hosp!) Cardiac drugs (digitalis, antiarrhythmics) Close follow-up! Home/


Medical Nutrition Therapy in Pulmonary Disease

Effects of Lung Disease on Nutritional Status Increased energy expenditure Increased work of breathing Chronic infection Medical treatments (e.g. bronchodilators, chest physical therapy Adverse Effects of Lung Disease on Nutritional Status/Lack of mineral stores as a result of prematurity (iron, zinc, calcium) Growth delay Medications: diuretics, bronchodilators, antibiotics, cardiac antiarrhythmics, corticosteroids associated with loss of minerals including chloride, potassium, calcium Vitamin Needs in BPD/


John D. Hummel, MD Ohio State University Medical Center Ross Heart Hospital Columbus, Ohio Management of Atrial Fibrillation in 2010.

2001. Procainamide, disopyramide, and amiodarone are not FDA-approved for treatment of AF. Rhythm Control for AF: Commonly Used Oral Antiarrhythmic Drugs AF Efficacy: Maintaining NSR > 6 Months ORGAN TOXICITY Examples: –Lupus, agranulocytosis, thrombocytopenia, optic neuritis, pulmonary fibrosis, hepatitis/ often administered in addition to antiarrhythmic drugs, including amiodarone, further reducing the odds for AF recurrence after cardioversion by 45% (p = 0.01) and in patients on medical therapy by 63% (p/


Atrial fibrillation By: Emma Fleck.

of atrial fibrillation, although betablocker administration can accomplish this goal. Digoxin also should be used cautiously in the elderly and in patients with chronic kidney disease (Julia Heisler, 2009) of antiarrhythmic medication is dependent on whether there is any other heart disease such as significant hypertrophy, systolic heart failure, or coronary artery disease Julia Heisler The presence of atrial fibrillation increases the/


Mehdi Mousavi M.D. Interventional Cardiologist Assistant Professor Alborz University of Medical Sciences

, but prolonged administration should be avoided.  If pregnancy begins while a woman is receiving antihypertensive drug therapy, medications including diuretics but excluding ACEIs and ARBs are usually continued  The mother should be protected and that the fetus/the clinical examination, a transthoracic echocardiogram should be obtained  Commonly used antiarrhythmic drugs cross the placental barrier to some extent  Because of the potential problem of recurring tachyarrhythmias during pregnancy, the /


Cardiac Arrhythmias A Guide For Medical Students

transcutaneous or transvenous pacing is warranted Autonomic drugs such as atropine will have no effect on ventricular rate Type I antiarrhythmics should be avoided (they may suppress the escape rhythm) Ventricular Arrhythmias PVCs V tach V fib Premature Ventricular Contractions Generally/? What is the treatment? EKG= 3rd degree block What does the monitor show? What is the treatment? 26 yo medical student presents with N,V altered mental status. She has not been eating well. She is on Erythromycin for a URI/


1 Post Marketing Plan Earl Sands, M.D. Vice President and Chief Medical Officer US Research and Development Solvay Pharmaceuticals Earl Sands, M.D. Vice.

11 Post Marketing Plan Earl Sands, M.D. Vice President and Chief Medical Officer US Research and Development Solvay Pharmaceuticals Earl Sands, M.D. Vice President and Chief Medical Officer US Research and Development Solvay Pharmaceuticals 12 Post Marketing Plan Agenda /2 hrs from the start of infusion and until QTc becomes normal 15 Risks to be Minimized As with all antiarrhythmic drugs, tedisamil use has risks –Torsade de Pointes –Bradycardia –Hypotension These risks can be minimized by addressing the/


Ibutilide Ibutilide A Class III Antiarrhythmic Drugs ZHANG Dai-fu Shanghai East Hospital Tongji University Tongji University September 10, 2010.

pathway is via liver’s cytochrome P450 system   Only one in eight metabolites has active property of the Class III antiarrhythmic agents, and is only less than 10% of ibutilide Metabolism Pharmacokinetics   After administration of ibutilide, it is quickly excreted/10 min. 0.005 mg/kg ( 0.05 ml/kg) CORVERT product monograph Adverse effects Adverse effects Treatment-Emergent Medical Events with Frequency of More Than 1% and Higher Than that of placebo Ibutilide fumarate injecction insert. Revised 2009 /


CARDIOVASCULAR DRUGS Chapter. ANTIARRHYTHMIC DRUGS.

like propranolol. Calcium Channel Blockers Diltiazem, Verapamil Not used as frequently in veterinary medicine as the other Antiarrhythmic drugs. Block calcium channels which decreases conduction of depolarization waves and decreases automaticity throughout the heart. / in vessel walls, or blocking Alpha one receptors. Monitor for weakness, syncope, or lethargy when beginning medication. Ace Inhibitors Animals with CHF have decreased cardiac output and decreased blood pressure. Alpha one receptors are/


QT Evaluation in Early Clinical Development

QTc Interval Prolongation and Proarrhythmic Potential for Non-Antiarrhythmic Drugs October 2005 Background (con’t) Do all drugs require rigorous QT evaluation ? New drugs with systemic bioavailability, other than antiarrhythmics which can prolong the QT/QTc interval as/ additional risk factors for TdP (e.g., heart failure, hypokalemia, family history of Long QT Syndrome) Concomitant medications that prolong the QT/QTc interval With QT/QTc interval data from early clinical studies, later clinical trials could/


HYPOTHERMIA Kristopher R. Brickman, M.D., F.A.C.E.P. Medical Director, Emergency Department University of Toledo Medical Center.

HYPOTHERMIA Kristopher R. Brickman, M.D., F.A.C.E.P. Medical Director, Emergency Department University of Toledo Medical Center HYPOTHERMIA Definition – a core temperature less than 35oC. Also a /of being inactive can cause sudden death by VF Hypothermia Induced Ventricular Fibrillation Resistant to cardioversion Resistant to commonly used antiarrhythmics Bretylium most effective antiarrhythmic agent for V-Fib Treating Profound Hypothermia (con’t) Rescuers can trigger VF through rough handling of the /


Syncope A Diagnostic and Treatment Strategy

neurocardiogenic syncope have been introduced. 1Gregoratos G, et al. ACC/AHA Guidelines for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices. Circulation. 1998; 97: 1325-1335. Role of Pacing in Treating VVS Status of Pacing in VVS/ alcohol amyloid Alcohol orthostatic intolerance apart from neuropathy Orthostatic hypotension is an important cause of syncope. The medical history is usually sufficient to establish the diagnosis. However, defining the specific cause requires careful consideration of/


AF –pathophysiology and medical management

of strategy is determined by : paroxysmal or persistent AF severity and type of symptoms associated cardiac and other medical diseases age of patient short- and long-term treatment goals choice of pharmacologic or nonpharmacologic therapy Try and maintain/ Monitor QRS duration with class Ic(150% increase-reduce drug) Monitor QT interval with sotalol and amiodarone Antiarrhythmic drug therapy to maintain sinus rhythm in patients with recurrent paroxysmal or persistent atrial fibrillation Other drugs ACE /


Ventricular tachycardia in abnormal heart

assessed by QRS duration Syncope & VT- squares Sudden death- triangles Syncope with Afl- star Gatzoulis MA et al. Circulation 95:401-404, 1997 Antiarrhythmics medication Radiofrequency catheter ablation Ventricular Tachycardia in Patients after Surgery for Congenital Heart Disease Treatment Antiarrhythmics medication Radiofrequency catheter ablation Surgical Cryoablation ICD implantation A combined approach of correcting significant structural abnormalities with intra-operative EP-guided ablation may reduce/


Challenges and Controversies in Atrial Fibrillation

in Atrial Fibrillation Marc J. Girsky, M.D Director Electrophysiology Services Harbor-UCLA Medical Center Presenter Disclosure Information Marc Girsky MD St. Jude Medical Corporation – Research projects Atrial Fibrillation One Patient’s Odyssey 76 y/o male with/Focused Guidelines Maintaining Sinus Rhythm Wann, L. S. et al. J Am Coll Cardiol 2011;57:223-242 Expectations of Antiarrhythmic Drug Therapy in Treatment of AF Complete suppression Best, but AF recurrence likely (>50% of patients) Recurrence, per se,/


András Varró Department of Pharmacology and Pharmacotherapy University of Szeged, Hungary Albert Szent-Györgyi Medical Center 2007 The importantance of.

Arizona CERT (Center for Education and Research on Therapeutics) Information from the FDA-approved drug labeling and the medical literature. Closed and last revised: 03/01/2006 Primary drug effect (I Kr I HERG blockade) Secondary risk/change (%) Changes in cardiac repolarization in patients treated with antipsychotic drugs Drug indrustry Development of life saving drugs (antiarrhythmics, cardiotonics, AIDS drugs etc.) Endpoint: mortality Development of quality of life improving drugs (pl. antihistamins, CNS/


Ventricular tachycardia in coronary artery disease Zahra Emkanjoo, M.D. Rajaie Cardiovascular, Medical and Research Centre Tehran, IRAN Zahra Emkanjoo,

coronary artery disease Zahra Emkanjoo, M.D. Rajaie Cardiovascular, Medical and Research Centre Tehran, IRAN Zahra Emkanjoo, M.D. Rajaie Cardiovascular, Medical and Research Centre Tehran, IRAN The most common anatomic / in significant reductions in overall mortality (31- 55%) over antiarrhythmics or conventional therapy. ICD therapy in these patients results in significant reductions in overall mortality (31- 55%) over antiarrhythmics or conventional therapy. ICD mortality reductions in post-MI trials /


Atrial Flutter: An Electrophysiologic Overview

as a treatment for atrial flutter. MAJID HAGHJOO, M.D DEPARTMENT OF PACEMAKER AND ELECTROPHYSIOLOGY RAJAIE CARDIOVASCULAR MEDICAL AND RESEARCH CENTER (RCMRC) Objectives – Atrial Flutter Identify mechanisms and characteristics of atrial flutter Recognize ECG and/as the initial shock. Treatment Options: Chronic A-Flutter Pharmacologic therapy Currently class IA, IC and III antiarrhythmic agents have demonstrated efficacy in suppression of atrial flutter. In the absence of structural heart disease, class IC/


Optimizing Ventricular Pacing in Sinus Node Disease Michael O. Sweeney, MD Brigham and Women’s Hospital Assistant Professor of Medicine Harvard Medical.

Disease Michael O. Sweeney, MD Brigham and Women’s Hospital Assistant Professor of Medicine Harvard Medical School Boston, MA Executive Summary Four major clinical trials have been unable to demonstrate a/Study Patient Characteristics AAl GroupVVI Group NYHA Class I7992 NYHA Class II2420 NYHA Class III73 NYHA Class IV00 Digoxin2211* Beta Blocker71 Calcium Blocker1311 Antiarrhythmic drugs126 Furosemide, mg/d32 + 5123 + 39 Aspirin4846 Warfarin61 * P = 0.04, atrial versus ventricular group Danish Study Study /


Advanced Cardiac Life Support N.Tavakoli Assistant professor Department of Emergency Medicine Iran University of Medical Sciences.

Cardiac Life Support N.Tavakoli Assistant professor Department of Emergency Medicine Iran University of Medical Sciences Early ACCESS Early CPR Early DEFIB Early ACLS Chain of Survival Drug /unwanted tachycardia or dysrhythmia Pulseless Electrical Activity Amiodarone  Indications (When & Why?) Powerful antiarrhythmic with substantial toxicity, especially in the long term Powerful antiarrhythmic with substantial toxicity, especially in the long term Intravenous and oral behavior are quite different/


稳心颗粒抗室性心侓失常的机制 Gan-Xin Yan Professor, Lankenau Institute for Medical Research Professor of Medicine, Thomas Jefferson University.

Yan Professor, Lankenau Institute for Medical Research Professor of Medicine, Thomas Jefferson University When we use a sodium channel blocker for suppression of cardiac arrhythmias, which effects we expect are antiarrhythmic? Slow conduction velocity; Prolong Effective/during bradycardia. When we use a sodium channel blocker for suppression of cardiac arrhythmias, which effects we expect are antiarrhythmic? Slow conduction velocity 传导速度减慢 折返波长 =x 有效不应期 折返波长 = 传导速度 x 有效不应期 折返心侓失常的机制 (1) Late Sodium Current (/


Agency for Persons with Disabilities State Curriculum January 2009

Their Side Effects The next slides are examples of classes of drugs and the most common medications in each. Refer to your handouts for more complete lists. Cardiovascular System Medications Vasodilators……Nitroglycerin, Isosorbide Diuretics……Lasix, HCTZ, Aldactone… many others Antihypertensives…Lopressor, Calan, Captopril…many! Antiarrhythmics…Digoxin, Lanoxin, Quinora, many more Anticoagulants…Warfarin, Coumadin, Plavix, others Most side effects come from over dosage. Report/


Minnesota’s Call To Action

Anxiolytics: Dosage Thresholds Flurazepam 15mg Chlodiazepoxide 20mg Clorazepate 15mg Diazepam 5mg Cloazepam 1.5mg Quazepam 7.5mg Esazolam 0.5mg Alprazolam 0.75mg Oxazepam 30mg Lorazepam 2mg Cardiovascular medications Antiarrhythmics: mental function, falls, appetite, behavior, heart function Amiodarone: limited indications, pulmonary toxicity, hepatic, thyroid, heart failure, interactions with digoxin & warfarin Disopyramide: decrease contractility, heart failure, anticholinergic Antihypertensives: dose/


Robert L. Maher Jr., Pharm.D, BCPS, CGP

particular resident Targeting the High Risk Elderly Patient Specific Medications NTD Renally Cleared Medications Phase I metabolized medications Class of Medications anticonvulants narcotic analgesics antipsychotics sedative/hypnotics anticholinergics Targeting /Lithium ACEI, thiazide diuretics, NSAIDs Meperidine MAOI Phenytoin imidazoles Quinolones Type IA,C, II antiarrhythmics SSRI tramadol, st john wort Sulfonylureas imidazoles Theophylline imidazoles, quinolones, barbiturates Warfarin amiodarone, NSAIDs,/


Sep 2006 Version1 Westchester Regional Emergency Medical Services On-line Medical Control Physician Course & Regional System Overview Revised September.

Paramedics may contact On-line Medical Control and request approval to terminate resuscitation efforts if following 20 - 30 minutes application of ACLS to a continuous and documented pulseless, non-traumatic adult cardiac arrest, which includes: Advanced airway control (ie ET, Combi-tube) providing effective oxygenation and ventilation. VT/VF shocked when present. IV access achieved and antiarrhythmics administered as appropriate. All reversible/


Risk Reduction Strategies for High-Alert Medications

Pregnancy category X drugs Antiretroviral agents Pediatric liquid formulations Anesthetic agents Oral hypoglycemic agents Antiarrhythmic agents IV radiocontrast agents Epidural/intrathecal formulations Hypertonic saline Neurommuscular Blocking Agents Adrenergic agonists Adrenergic antagonists 3 - http://www.ismp.org/tools/institutionalhighAlert.asp 4 - http://www.ismp.org/communityRx/tools/ambulatoryhighalert.asp Darkened medications considered by ISMP to be essential to any institution’s high-alert/


Medication Safety at transitions of care

comorbidities Patients with limited literacy skills Patients who do not speak English Pediatric patients High Risk Medications3 Antithrombotics Insulin and other hypoglycemics Opiates Antiarrhythmics and other cardiovascular medications Chemotherapy Immunosuppressants Antiseizure medications Eye Medications Inhalers BEERs Criteria medications in patients over 65 years of age Medication errors in adult and pediatric patients8,9 Pediatrics Purpose To examine the frequency and potential severity of unintended/


High-Alert Medications: Safeguarding Against Errors (Part 1)

these than with other medications, but the consequences of errors may be devastating I used the current ISMP definition ISMP’s List of High-Alert Medications Adrenergic agents Anesthetics Antiarrhythmics Anticoagulants Cardioplegic solutions Chemotherapy/another on a preprinted chemotherapy form or order entry computer screen Key Concepts in Safeguarding High-Alert Medications (continued) Standardize order communication Create, disseminate, and enforce ordering guidelines Standardize read-back procedure for/


F 329 Unnecessary Medications: Geriatric Principles Meets Regulations

(all) Antipsychotics Conventionals Atypicals Anxiolytics Short-acting benzodiazepines Long-acting benzodiazepines Buspirone Diphenhydramine / hydroxyzine Meprobamate Medication Issues of Particular Relevance to Long-Term Care Cardiovascular medications Antiarrhythmics (amiodarone, disopyramide) Antihypertensives - All Methyldopa Digoxin Diuretics Nitrates Medication Issues of Particular Relevance to Long-Term Care Cholesterol lowering medicines Statins cholestyramine Cognitive enhancers Cold, cough/


  < >  Emergency Medical Services Prehospital Clinical Operating Guidelines                      < >   <

Beta agonist in same nebulizer unit Caution should be used when administering to elderly patients and those with cardiovascular disease or hypertension Ipratropium - Medications Lidocaine - Medications < > Emergency Medical Services EMS Medical Director: EMS Director: Effective Date: Lidocaine (Xylocaine®) Indications: Used as an antiarrhythmic for: ventricular tachycardia; ventricular fibrillation; and malignant PVCs   Adult dose range: 1-1.5mg/kg for first dose, 0.50-0.75/


Presented by:Kenny-Joe Wallen Independent Double Checks for High Alert Medications in the Perioperative period.

, phenylephrine, norepinephrine ). Adrenergic antagonists I.V ( e.g, propranolol, metoprolol, labetalol ) Anasthetic agents: inhaled and IV ( e.g, propofol, ketamine ) Antiarrhythmics, I.V ( e.g, lidocaine, amiodarone ). Anticoagulant : (e.g, heparin, warfarin ). Chemotherapeutic agents : parentral and oral. Oral hypogylcemics. Inotropic medications I.V ( e.g, digoxin, milrinone ). Moderate sedation agents I.V (e.g, midazolam ), Oral (e.g, chloral hydrate ) Narcotics/Opiates/


1 The Sane Use of Psychotropic Medications Steven Levenson, MD, CMD.

affect behavior and mental states by counteracting or overstimulating brain chemicals such as serotonin 52 Medications and Behavior / Mental Function: Examples Antiarrhythmic agents Anticholinergic agents (and medications with anticholinergic effects, side effects) Antidepressants Anticonvulsants Antiemetics Antihistamines/decongestants Antihypertensive agents 53 Medications and Behavior / Mental Function: Examples Antineoplastic agents Anti-Parkinsons agents Corticosteroids Muscle relaxants Antipsychotic/


Pharmacology. Pharmacology is the study of drugs in living systems. It encompasses the understanding of all medication effects, whether diagnostic, therapeutic,

Dosage FormAbsorption SolutionsFastest Suspensions Powders Capsules Tablets Coated tablets Enteric-coated tabletsSlowest Immediately on medication administration, a drug begins to undergo the pharmacokinetic process. Pharmacokinetics consists of the /MEDICATIONS Antiarrhythmic (or antidysrhythmic) medications are those drugs that affect the electrical conduction system of the myocardium. The actions of these medications differ among the individual drugs. The ultimate goal for this class of medications/


Medication Safety. Objectives  To know Medication Safety Terminology.  To Understand the relationship between medication errors, adverse drug events.

Classes/ Categories List:  Adrenergenic agonists (e.g., Epinephrine, Phenylephrine, Norepinephrine)  Adrenergenic antagonists (e.g., Propranolol, Metoprolol, Labetalol)  Anesthetic agents, general, inhaled, and IV (e.g., Propofol, Ketamine)  Antiarrhythmic, IV (e.g., Lidocaine, Amiodarone) High Alert Medications Classes/ Categories List:  Chemotherapeutic agents, parenteral and oral  Dextrose hypertonic, 20% or greater  Dialysis solutions, peritoneal and hemodialysis  Epidural or Intrathecal/


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht Copyright ©2009 by Pearson Education, Inc. Upper Saddle.

almyocardial pertaining to heart muscle –ologistcardiologistheart specialist –rrhexiscardiorrhexisruptured heart tachy– –iatachycardiastate of fast heart Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht Copyright/pressure Lotensin, Capoten antiarrhythmic reduces or prevents cardiac arrhythmias Tambocor, Corvert anticoagulant prevents blood clot formation Warfarin, Coumadin antilipidemic reduces blood cholesterol level Lipitor, Zocor Medical Terminology: A Living /


Getting Medications Right For Your Patients and Your Program Lorin Yolch, PharmD, CGP, FASCP Washington State Hospice & Palliative Care Organization.

and concentrate 20 mg/ml Phenobarbital IV 5/29/201626 Benchmark Medication Costs National PPD goal = $8.00 – Post Medicare Part/medication and nonadherence are common and can lead to ADRs Lee JK, Mendoza DM, Mohler, MJ, Morris, SJ. Geriatrics. In: DiPiro JT, Talbert RL, Yee GC, et al., eds. Pharmacotherapy: A Pathophysiologic Approach. 8 th ed. New York City: McGraw-Hill; 2011:7-21. ADRs in the Elderly Be careful when drugs that alter cognition are prescribed (antipsychotics, benzodiazepines, antiarrhythmics/


Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Medical Language, Second Edition Susan Turley CHAPTER.

Turley Drug Categories These categories of drugs are used to treat cardiovascular Diseases and Conditions: –Angiotensin converting enzyme inhibitor drugs –Antiarrhythmic drugs –Anticoagulant drugs –Antihypertensive drugs –Aspirin Copyright ©2011 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Medical Language, Second Edition Susan Turley Drug Categories (cont’d) These categories of drugs are used to treat cardiovascular Diseases/


Medication Event Prevention and Error Reduction James D. Newman Human Performance Consultant www.HumanPerformanceTools.com Kristin C. Klein, PharmD, FPPAG.

interval, LFTs Failure to follow-up on labs E.g., vancomycin level, anti-Xa level, PTT, INR Failure to adjust therapy based on lab values High-Alert Medications Drug Classes Adrenergic agonists/ antagonists Anesthetics Antiarrhythmics Antithrombotics Cardioplegic solutions Chemo Hypertonic dextrose/saline Dialysis solutions Epidural/intrathecal meds Oral hypoglycemics Insulin Inotropic meds Liposomal meds (and alternatives) Narcotics Moderate sedation agents Especially for/


Medical Terminology A Living Language CHAPTER Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Terminology: A Living.

Rights Reserved Cardiovascular Pharmacology ACE inhibitor drugs produce vasodilation to decrease blood pressure Lotensin, Capoten antiarrhythmic reduces or prevents cardiac arrhythmias Tambocor, Corvert anticoagulant prevents blood clot formation Warfarin, Coumadin antilipidemic/ coronary angioplasty PVCpremature ventricular contraction S1first heart sound S2second heart sound continued on next slide Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright/


2008 SOGs Update Page 1 If the SOGs are utilized, you must document on your Medical Records as to what procedures/treatments were carried out utilizing.

ml/kg NS/LR ● NARCAN 0.1 mg/kg IV/IO/ET 2008 SOGs Update Page 130 Medications AMIODARONE 150mg (Cordarone) Dose/ Route: Pulseless arrest: 300mg rapid IVPWide-complex tachycardia:150mg’s IV over 10 minutes Peds: Pulseless arrest: 5mg/kg rapid IV bolus Action:Antiarrhythmic Indications:Recurrent ventricular fibrillation or hemodynamically unstable ventricular tachycardia Contraindications:Hypersensitivity to Amiodarone, cardiogenic shock, sinus/


Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht Copyright ©2009 by Pearson Education, Inc. Upper Saddle.

pressure Lotensin, Capoten antiarrhythmic reduces or prevents cardiac arrhythmias Tambocor, Corvert anticoagulant prevents blood clot formation Warfarin, Coumadin antilipidemic reduces blood cholesterol level Lipitor, Zocor Medical Terminology: A Living Language/hypertrophy MImyocardial infarction, mitral insufficiency mmHgmillimeters of mercury MRmitral regurgitation MSmitral stenosis MVPmitral valve prolapse Medical Terminology: A Living Language, Fourth Edition Bonnie F. Fremgen and Suzanne S. Frucht /


Copyright ©2012 by Pearson Education, Inc. All rights reserved. Medical Terminology: A Word-Building Approach, Seventh Edition Jane Rice Audio Pronunciations.

Rice Figure 9.37 Development of varicose veins. Copyright ©2012 by Pearson Education, Inc. All rights reserved. Medical Terminology: A Word-Building Approach, Seventh Edition Jane Rice Drug Highlights Digitalis Drugs Antiarrhythmic Agents Vasopressors Vasodilators Copyright ©2012 by Pearson Education, Inc. All rights reserved. Medical Terminology: A Word-Building Approach, Seventh Edition Jane Rice Drug Highlights Antihypertensive Agents Antihyperlipidemic Agents Antiplatelet Drugs Anticoagulants/


And Other Novel Forms of Brain Stimulation. Robert M Greenberg, M.D.  Chief, Geriatrics, Geropsychiatry and ECT - Lutheran Medical Center (Brooklyn,

useful  Laboratory tests  Goal – confirm presence/severity medical risks  None “routinely” required  Anesthetic evaluation  ASA class, need to modify technique or meds PRE-ECT EVALUATION (CONT)  Typical labs – CBC, ‘Lytes, ECG, (CXR)  Others as clinically indicated  Spine films with severe osteoporosis/sx’s  Neuroimaging, EEG if pathology suspected  Blood level monitoring for warfarin, digoxin, antiarrhythmic, anticonvulsants  Echocardiogram, Holter, stress test – if indicated/


© Continuing Medical Implementation …...bridging the care gap Post Myocardial Infarction Pharmacotherapy.

Across subsets of patients at varying risks within specific clinical disorders Antiplatelet Trialists’ Collaboration. BMJ 1994; 308: 81–106. © Continuing Medical Implementation …...bridging the care gap Anti-platelet Trialists’ Collaboration: Results Anti-platelet Trialists’ Collaboration. BMJ 1994; 308: 81–106./MI ACEI during MI ACEI post MI if LV dysfxn Nitrates during MI Ca ++ blockers Magnesium Lidocaine Class I Antiarrhythmics NumberRR Deathp value 28,970 24,298 100,963 5,986 81,908 20,342 61,860 9,155 /


Fleetwood Toolkit v 1.0 (11/05) Reducing the Use of Inappropriate Medications Propoxyphene (Darvocet, etc.) & Medications with Anticholinergic Effects.

8.Mood State 9.Behavioral Symptoms 11.Falls 15.Dental Care Fleetwood Toolkit v 1.0 (11/05) Medications with Anticholinergic Effects Anti-nausea/dizziness promethazine (Phenergan) prochlorperazine (Compazine) trimethobenzamide (Tigan) meclizine (Antivert) cyclizine /trihexyphenidyl; ethoproprazine Muscle Relaxants metaxalone (Skelaxin) cyclobenzaprine (flexeril) orphenadrine (Norflex) Antiarrhythmics disopyramide (Norpace) procainamide (Pronestyl) quinidine Antidepressants amitriptyline (Elavil) doxepin (/


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