What are the adverse reactions that people may experience when taking antiarrhythmic medications?
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When taken exactly as prescribed, medications can do wonders. They can help prevent heart attack and stroke. They can also prevent complications and slow the progression of coronary heart disease. Some of the major types of commonly prescribed cardiovascular medications used to treat arrhythmias are summarized in this section. It's important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects. Never stop taking a medication and never change your dose or frequency without first consulting your doctor. Antiarrhythmic drugsSymptomatic tachycardias and premature beats may be treated with a variety of antiarrhythmic drugs. These may be given intravenously in an emergency situation or orally for long-term treatment. These drugs either suppress the abnormal firing of pacemaker tissue or depress the transmission of impulses in tissues that either conduct too rapidly or participate in reentry. In patients with atrial fibrillation, a *blood thinner (anticoagulant or antiplatelet) is usually added to reduce the risk of blood clots and stroke. Learn more about AFib medications. When tachycardias or premature beats occur often, the effectiveness of antiarrhythmic drug therapy may be gauged by electrocardiographic monitoring in a hospital, by using a 24-hour Holter monitor or by serial drug evaluation with electrophysiologic testing. The relative simplicity of antiarrhythmic drug therapy must be balanced against two disadvantages. One is that the drugs must be taken daily and indefinitely. The other is the risk of side effects. While side effects are a risk of all medication, those associated with antiarrhythmic drugs can be very hard to manage. They include proarrhythmia, the more-frequent occurrence of preexisting arrhythmias or the appearance of new arrhythmias as bad as or worse than those being treated. Calcium channel blockersCalcium channel blockers, also known as "calcium antagonists," work by interrupting the movement of calcium into heart and blood vessel tissue. Besides being used to treat high blood pressure, they're also used to treat angina (chest pain) and/or some arrhythmias. Beta-blockersBeta-blockers decrease the heart rate and cardiac output, which lowers blood pressure by blocking the effects of adrenalin. They're also used with therapy for cardiac arrhythmias and in treating angina pectoris. AnticoagulantsAnticoagulants (blood thinners) work by making it harder for the blood to clot, or coagulate. They aren't designed to dissolve existing blood clots. They prevent new clots from forming or existing clots from getting larger. Because a common type of stroke is caused by a blood clot obstructing blood flow to the brain, anticoagulants are often prescribed for people with certain conditions to prevent the occurrence of a first stroke or to prevent the recurrence if the patient has already had a stroke. Anticoagulants are also given to certain people at risk for forming blood clots, such as those with artificial heart valves or who have atrial fibrillation. Taking medications
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff. What are the contraindications of antiarrhythmic drugs?Amiodarone, one of the most commonly used antiarrhythmic drugs, has boxed warnings for pulmonary, hepatic, and cardiac toxicity. Amiodarone is contraindicated in cardiogenic shock, sick sinus syndrome, second or third-degree atrioventricular block, and known hypersensitivity to the amiodarone or iodine.
What would you monitor when administering an antiarrhythmic?Assess your patient's apical pulse rate and rhythm before administering an antiarrhythmic. Monitor his cardiac rate and rhythm continuously when therapy starts or any time the dosage is adjusted.
What effects do antiarrhythmics have on the heart?Class II antiarrhythmic medicines are beta-blockers, which work by blocking the impulses that may cause an irregular heart rhythm and by interfering with hormonal influences (such as adrenaline) on the heart's cells. By doing this, they also reduce blood pressure and heart rate.
What is your primary nursing consideration to a patient taking antiarrhythmic drugs?These are vital nursing interventions done in patients who are taking antiarrhythmics: Titrate the dose to the smallest amount enough to manage arrhythmia to decrease the risk of drug toxicity. Monitor cardiac rhythm closely to detect potentially serious adverse effects and to evaluate drug effectiveness.
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