Flecainide med card PDF

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Flecainide med card...

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INSTRUCTIONS: 1. For each chapter that teaches about medications, fill in the following table regarding the chosen meds. CLASS: antiarrhythmics GENERIC NAME: Flecainide TRADE NAMES: Tambocor MOA: Slows conduction in cardiac tissue by altering transport of ions across cell membranes INDICATIONS: Life-threatening ventricular arrythmias, supraventricular tachyarrhythmias (PSVT, paroxysmal atrial fibrillation/flutter) CONTRAINDICATIONS/PRECAUTIONS: Contraindicated: - Drug allx - Cardiogenic shock Caution: - HF - Pre-existing sinus node dysfunction (2nd ot 3rd degree heart block) - Renal impairment - Pregnancy INTERACTIONS with other Drugs/Substances: - Increased risk of arrythmias with concurrent use of other antiarrhythmics - Disopyramide, beta blockers, or verapamil may increase myocardial depressant effects - Amiodarone doubles serum flecainide levels - Increase serum digoxin levels - Concurrent beta blocker therapy may - Alkalinizing agents promote reabsorption, increase blood levels, and may cause toxicity - Acidifying agents may increase renal elimination and may decrease effectiveness of flecainide PATIENT RESPONSE / REACTIONS: COMMON SIDE EFFECTS: ADVERSE REACTIONS: S/S TOXICITY: TOXICITY/OVERDOSE TX: - Dizziness - Anxiety - nausea - high dose of DESIRED OUTCOME: - Blurred vision - Fatigue - vomiting hypertonic sodium - HA - seizures bicarbonate Suppression of arrhythmias - Mental depression - coma - Visual disturbances - palpitations - **arrhythmias - syncope - **chest pain - cardiac arrest - **HF - Anorexia - Constipation - Drug-induced hepatitis - N/V - Stomach pain - Rash

NURSING ACTIONS:

SPECIAL CONSIDERATIONS/NOTES:

ASSESS: - Monitor ECG or Holter monitor before and periodically during therapy - Monitor BP and pulse periodically - Monitor I&O ratios and daily weight - Assess for sings of HF (peripheral edema, rales/crackles, dyspnea, weight gain, jugular venous distention) - Monitor plasma trough and peak levels in pt with severe renal or hepatic disease or in pt with HF

- tremor CARE/IMPLEMENT: - DO NOT confuse Tambocor with Pamelor - Previous antiarrhythmic therapy should be withdrawn 2-4 half-lives before starting flecainide - Meds may be administered with meals if GI irritation becomes a problem

TEACH: - Instruct patient to take medication around the clock as directed at evenly spaced intervals - If missed dose, take as soon as remembered if within 6 hours - May cause dizziness or visual disturbances - Caution pt to avoid driving and other activities requiring alertness until response to medication is known - Advise pt to notify HCP of medication regimen before tx or surgery - Instruct pt to notify HCP if chest pain, SOB, or diaphoresis occurs - Advise pt to carry ID describing disease process and medication regiment at all times - Emphasize importance of follow up exams to monitor progress

EVALUATE: - Decrease in frequency of life threatening ventricular arrythmias - Decrease in supraventricular tachyarrhythmias...