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Anti Arrhythmic
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PROCAINAMIDE (PRONESTYL) / ANTI-ARRHYTHMIC
Procainamide :
1. prolongs ventricular repolarization
2. slows conduction
3. decreases myocardial excitability
PROCAINAMIDE (PRONESTYL) / ANTI-ARRHYTHMIC Indications
ventricular fibrillation and pulseless ventricular tachycardia refractory to lidocaine
PROCAINAMIDE (PRONESTYL) / ANTI-ARRHYTHMIC Contraindications
1. Hypersensitivity to procainamide or procaine
2. Myasthenia gravis
3. 2nd or 3rd degree heart block
PROCAINAMIDE (PRONESTYL) / ANTI-ARRHYTHMIC Precautions
1. Hypotension
2. Cardiac enlargement
3. CHF
4. AMI
5. Ventricular dysrhythmias from digitalis
6. Hepatic or Renal impairment
7. Bronchial asthma
PROCAINAMIDE (PRONESTYL) / ANTI-ARRHYTHMIC Dosage/Route
20-30 mg/min IV drip
Stop points:
1. up to 17mg/kg to effect
2. ectopy resolves
3. QRS complex widens more than 50% from original
4. hypotension ensues
Author
medic11student
ID
21623
Card Set
Anti Arrhythmic
Description
JHPC Medic Drugs
Updated
2010-06-02T02:13:40Z
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