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Antidysrhythmics Class IA
- Procainamide ( pronestyl)
- Diospyramine ( Norpace)
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SE of Class IA
Hypotension heart failure
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Nursing Considerations for Class I
- Monitor Bp
- Monitor for widening PR, QRs or QT intervals
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Class IB anti dys
- Lidocaine ( xylocaine)
- Mexiletine hydrochloride ( Mexitil)
- Tocainide hydrochloride ( Rhythmol)
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SE of IB antidys
- CNS: Slurred speech, confusion, siezures
- Hypotension and bradycardia
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Nursing Cons for IB antidys
- Monitor CNS SE
- Monitor Bp and heart rate and cardiac rhthm
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Class IC antidys
- flecainide ( tamocor)
- propafone hydrochloride ( Rythmol)
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Class IC SE
- Brady
- Hypotension
- Dyshythmias
- CNS: anxiety, insominia, confusion, seizures
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Nursing Considerations for Class IC
- monitor for increasing dys
- monitor HR and BP
- Monitor CNS SE
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Class II antidys
- Propanolol ( Inderal)
- Acebutolol ( Sectral)
- Esmolol hydrochloride ( brevibloc)
- sotalol hydochloride ( Betapace)
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Class III antidys SE
- Hypotension
- Brady and atrioventricular block
- muscle weakness, tremors
- photosense and phobia
- liver tox
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Class III antidys
- amiodarone hydrochloride ( cordarone)
- Ibutilide fumerate (Covert)
- Dofetilide ( tikosyn)
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Class II side effects
- brady
- hypo
- bronchospasms
- Inrease in HF
- Fatigue and sleep disturbances
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Class III Nuring Cons
- continuous monitor of cardiac rhyth
- Monitor QT interval during IV admin
- Monitor HR, BP, while giving therapy
- wear sunglasses and sunsreen
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Class IV antidys
- Verapamil ( calan)
- Diltiazem hydrochloride ( cardizem)
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SE of Class IV anti dys
- Brady
- Hypo
- dizzy orthostatic hypotension
- HF
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