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  #1  
Old 04-14-2012
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Drug Outpatient treatment of SVT

Outpatient prophylaxis of a patient with an SVT is best accomplished with the administration of

A. adenosine
B. diltiazem
C. esmolol
D. lidocaine
E. mexilitene
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  #2  
Old 04-14-2012
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..Adenosine?
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Old 04-14-2012
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it says outpatient...though adenosine is DOC but cant be used outpatient as it has to be given iv
esmolol is also iv
so is lidocaine
so i think it has to be diltiazem
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Old 04-14-2012
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Quote:
Originally Posted by usmlemydream View Post
it says outpatient...though adenosine is DOC but cant be used outpatient as it has to be given iv
esmolol is also iv
so is lidocaine
so i think it has to be diltiazem
Just to add to the above logic for answer (b), the atria is the only tissue to use Calcium for depolarization, so diltiazam would be the best answer.
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Old 04-15-2012
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whats the answer?
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Old 04-15-2012
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Correct answer should be B: Diltiazem
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Old 04-15-2012
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Default Diltiazem, oral n long acting

Drugs in SVT :
Adenosine- IV, short acting- in pt
Esmolol- short acting

Lidocaine n mexiletine used in Ventricular arrhythmia

So, diltiazem, oral and long acting is the ans ..
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Old 04-15-2012
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Just studied this: Its diltiazem.

Reason is the same as has been explained before. The emphasis is on OUTPATIENT!
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b, it is diltiazem
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Old 04-15-2012
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Its diltiazem as explained earlier n another thing worth paying attention is that they have asked for prophylaxis n not treatment so Adenosin or any short acting drug is totally ruled out
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Quote:
Originally Posted by kdm0101 View Post
Its diltiazem as explained earlier n another thing worth paying attention is that they have asked for prophylaxis n not treatment so Adenosin or any short acting drug is totally ruled out
Plus, you flatline with adenosine for up till 20 seconds, so it is only administered in a hospital setup.
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Old 07-08-2012
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Correct Answer Diltiazem

Adenosine, an ultra short acting AV nodal blocking agent, is indicated if vagal maneuvers are not effective. If this works, followup therapy with diltiazem, verapamil or metoprolol may be indicated. Adenosine may be safely used during pregnancy.
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