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9 Cards in this Set
- Front
- Back
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Procainamide Hydrochloride
Class |
Antiarrhythmic (atrial and ventrical)
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Procainamide Hydrochloride
Route |
IV Piggyback
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Procainamide Hydrochloride
Dose (ADULT) |
Adult: 20 mg/min IV piggyback (maximum total dose of 17mg/kg)
50 mg/min IV push in urgent situations (maximum total dose of 17 mg/kg). STOP the medication when one of the following occurs: Maximum dose is achieved (17 mg/kg or bag is empty) Arrhythmia is suppressed QRS widens by greater than 50 percent Hypotension occurs |
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Procainamide Hydrochloride
Dose (Pediatric) |
15 mg/kg IV piggyback over 30 to 60 minutes
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Procainamide Hydrochloride
Drug Action |
Depresses depolarization which slows automaticity and /or conduction veloity
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Procainamide Hydrochloride
Indications |
Stable V-tach
PSVT unresponsive to vegal maneuvers and adenosine (with stable B/P). Stable wide-comples tachycardia of unknown origin Pts. in wolff-parkinson-white syndrome with rapid a-fib |
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Procainamide Hydrochloride
Precautions: |
for pts with acardiac or renal dysfunction, reduce maximal total dose to 12 mg/kg and maintenance infusion to 1 to 2 mg/min.
continually monitor QRS, PR and QT intervals for widening; Stop the druf if the QuS widens by more than 50 percent. Use with caution with other drugs that cause QRS to widen. Can create arrhythmias in the presence of AMI, hypokalemia, and hypomagnesemia |
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Procainamide Hydrochloride
Side Effects |
Bradycardia
Hypotension Conduction delays which prolong the PR or QT intermals or widen the QRS Heart Blocks In overdoseage- CNS depresion, confusion, seizures, myalgia (muscle pain). |
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Procainamide Hydrochloride
Contraindications |
Second and third degree blocks
Preexisting hypotension Digitalis toxicity Torsades de pointe ("twisting of the ECG") Tricyclic antidepressang toxicity |
