Phil is a 42-year-old who has a ventricular arrhythmia and was prescribed a Class 1 antiarrhythmic...

Phil is a 42-year-old who has a ventricular arrhythmia and was prescribed a Class 1 antiarrhythmic to treat his condition. He has been taking the medication for a couple of years now and recently started to have pain in his joints and has developed a rash that has become bothersome. He is refilling his prescription at your pharmacy and mentions to you that he has noticed these changes.

What medication is Phil most likely taking, and what is happening to Phil?

What course of action should be taken?

Expert Solution

Antiarrhythmic agents,also called as cardiac dysrhythmia medications are a group of pharmaceuticals that are used to suppress abnormal rhythms or heart (Cardiac arrhythmias). There are 5 main classes of antiarrhythmic drugs. Class 1:These agents interfere with the sodium channel. Class 2:These are anti sympathetic nervous system agents.Most agents in this class are beta blockers. Class 3: These agents affect potassium efflux. Class 4: These agents affects calcium channels and the AV node. Class 5: These agents works by unknown mechanisms.

Class 1 antiarrhythmic drugs again devided into three subclasses. Class 1a, Class 1b, Class1c. Class 1a:Drugs are fast channel blockers. Example :Quinidine, Ajmaline, Procainamide, Disopyramide. Their mechanism of action was sodium channel block and potassium channel blocking effect and affect QRS complex.These drugs prolong the action potential and has immediate effect on the 0 phase of depolarization. Class1b : Drugs :Lidocaine, phenytoin, mexiletine, tocainide. These are examples. These drugs shortened the action potential of myocardial cell and has weak effect on initiation of phase0 of depolarization by blocking sodium channels. Class1c drugs: Encainide, Felcainide, Propafenon, moricizine. These drugs show strongest effect on the initiation of phase 0 of depolarization.

Mostly prescribed drugs for ventricular arrhythmias are fast channel blockers class 1a drugs. Side effects of calcium channels blockers are : *Fatigue *joints pain,rashes, *Headache *Dizziness * Nausea. *Flushing . So we can suspect patient's presenting symptoms of Joints pain and rashes occur due to side effects is class 1 antiarrhythmic drugs. These are side effects of Procainamide . Best course of action for this patient is changing during.

Nightingale answered 2 years ago

1. Minta a 42-year-old widow has two daughters who live with her for the entire year....

1. Minta a 42-year-old widow has two daughters who live with her for the entire year. She properly claims both as dependents on her. Minta’s husband died last year and she has not remarried. For 2018 Minta has $75,000 of adjusted gross income. The amount Minta may claim as a standard deduction is: a. $4,050 b. $12,000 c. $18,000 d. $24,000 e. None of the above.

Part 1 Tina is a 42-year-old G1 P0 at 35 weeks of gestation who has been...

Part 1 Tina is a 42-year-old G1 P0 at 35 weeks of gestation who has been sent to labor and delivery for evaluation from her physician's office. Today at her routine prenatal visit, her blood pressure was 160/95. On chart review, the nurse notes that her first trimester blood pressures were 120s/70s and her second trimester readings were 110s/70s. The third trimester readings were 130s/70s-80s until today. What questions should the nurse ask Tina as part of her admission interview?...

Shamus provides support for the following dependants: • His 42 year old spouse who has a...

Shamus provides support for the following dependants: • His 42 year old spouse who has a physical infirmity. • His 63 year old father who has a mental infirmity. • His 67 year old mother who is in good health. • His 12 year old son who has a physical infirmity. He can claim the Canada caregiver credit (based on $7,276 for 2020) for: his father only. his mother only. all of the listed dependants. his spouse, his father, and...

Tina is a 42-year-old G1P0 at 35 weeks of gestation who has been sent to labor...

Tina is a 42-year-old G1P0 at 35 weeks of gestation who has been sent to labor and delivery for evaluation from her physician’s office. Today at her routine prenatal visit, her blood pressure was 160/95 mm Hg. On chart review, the nurse notes that her first trimester blood pressure readings were 120 systolic over 70 diastolic, and her second trimester readings were 110 systolic over 70 diastolic. The third trimester readings were 130 systolic over 70 to 80 diastolic until...

41. Jane is a 42-year old school teacher who has been referred to you by her...

41. Jane is a 42-year old school teacher who has been referred to you by her physician for weight loss. Jane is 5’5” and weighs 170 lbs. The following lab values were obtained from her physician: Blood pressure: 145/93 HDL-C: 42mg/dl LDL-C: 140mg/dl Fasting blood glucose: 99 mg/dl Fasting triglycerides: 178 mg/dl Jane does not smoke, does not have any obesity-related disease, and is not taking any medications. Her waist circumference is 34 inches. Her mother had a heart attack...

John Stokes is a 42-year-old banking executive who has been diagnosed with a duodenal ulcer due...

John Stokes is a 42-year-old banking executive who has been diagnosed with a duodenal ulcer due to H. pylori infection. He reports persistent abdominal pain associated with the ulcer. His medical history includes a recent knee injury, and he has been taking ibuprofen as needed for knee pain. His physician has prescribed treatment with Prevpac. (Learning Objectives 1, 5, and 6) John asks the nurse about the Prevpac. When he is informed that it contains three drugs, he responds, “Wait...

Elvira is a self-employed taxpayer who turns 42 years old at the end of the year...

Elvira is a self-employed taxpayer who turns 42 years old at the end of the year (2019). In 2019, her net Schedule C income was $130,000. This was her only source of income. This year, Elvira is considering setting up a retirement plan. What is the maximum amount Elvira may contribute to the self-employed plan in each of the following situations? (Round your intermediate calculations and final answers to the nearest whole dollar amount.) Problem 13-77 Part a a. She...

J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust...

J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood...

a.) Morgan, a 65-year old female, has been prescribed a thiazide diuretic for the treatment of...

a.) Morgan, a 65-year old female, has been prescribed a thiazide diuretic for the treatment of hypertension. She has achieved good blood pressure control. She unfortunately dropped a rock on her foot which caused quite a bit of blunt force trauma. As she is in pain and her foot has swollen, she decides to start taking naproxen. After a few days, she starts feeling ill, and her blood pressure registers higher than it typically does (145/90 mmHg). Regarding her pharmacotherapy,...

Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis...

Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. She was asymptomatic upon arrival. She was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. She states she leads a sedentary lifestyle as a bank officer. Her HbA1C is 10%. Mrs. Workman calls the nurse and complains...

Question