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Antiarrhythmic Medications - Vaughan Williams Classification - Summary Table
Class I agents - Sodium Channel Blockers⠀
Class II
Class I agents ... ⠀ Class II agents ... class are beta ... blockers.⠀ Class ... Class IV agents
Antiarrhythmics - Vaughan Williams Classification:
CLASS 1 - Sodium Channel Blockers:
 • MOA: Block fast Na+ channels
: • MOA: Block ... 2 - Beta Blockers ... : • MOA: Block ... primarily) and block ... : • MOA: Block
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... sick sinus, AV block ... Hypothyroidism - TOX: beta-blockers ... LIFE THREATENING CAUSES ... TREATMENT - Drugs (beta-blockers
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
Bradycardia, heart block ... Bradycardia, heart block ... #pharmacology #table ... #agents #internship ... #comparison
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 • Na+ channels open leading to a
: • MOA: Block ... 2 - Beta Blockers ... : • MOA: Block ... primarily) and block ... : • MOA: Block
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
consider using the agent ... rate control when beta-blockers ... conjunction with beta-blockers ... management #treatment #comparison ... #table
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
nodal blocking agents ... nodal blocking agent ... surgery • Heart block ... Medications: • Beta ... channel blockers
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Differential Diagnosis by Classification ... pauses • AV block ... side effect (e.g. αblockers ... Differential #Diagnosis #Classification ... #Table #Causes
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Hyperkalemia Treatment Algorithm ... bradycardia, AV blocks ... Combo of insulin + beta-agonist ... glucose <100 • Beta-agonist ... removal of offending agent
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
Causes of Hyperkalemia ... Beta-Adrenergic ... noncardioselective agents ... High #Potassium #Classification ... #Causes