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IBHRE CEPS Questions and Correct
Answers the Latest Update
midazolam
✓ what is the common name for Versed
.04 mg/kg
✓ standard adult dose of atropine
half dose
✓ how much NPH insulin should a patient be administered prior to an EP study? (they
are fasting think about blood sugar)
4-8 weeks
✓ What is the elimination half life of amiodarone?
4 half lives
✓ how long should an anti arrhythmic drug be discontinued prior to EP study?
sodium channel
✓ what do class I drugs primarily affect?
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slope of phase 0 (depolarization speed)
✓ what do class 1 drugs effect on sodium channels primarily do?
Class 1A drugs
✓ slow conduction velocity and increase refractoriness
Class 1B drugs
✓ drugs that shorten refractory periods
Class 1C drugs
✓ pronounced depressants on conduction velocity
class II drugs
✓ What class antiarrhythmic are beta blockers
Class II Drugs (Beta Blockers)
✓ Prevent catecholamine-mediated action on the heart, blocks sympathetic nervous
system cardiac effects (no effect on AP, decreases sympathetic tone)
`class III drugs
✓ increase AP duration by increasing refractoriness but do not affect conduction
velocity
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class IV drugs
✓ calcium channel blockers (primarily affecting SA and AV nodes)
Class V drugs
✓ digitalis agents that are used to increase parasympathetic activity
Class IA drug examples
✓ procainamide, disopyrimidine, quinidine
Class IB drug examples
✓ Lidocaine Mexiletine
Class IC drug examples
✓ Flecainide, Propafenone, Encainide
Class II antiarrhythmic drug examples (beta blockers)
✓ propanolol, metoprolol, atenolol, esmolol
class III drug examples
✓ amiodarone, ibutilide, sotolol, dofetilide
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