Procainamide Flashcards

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1
Q

Procainamide

Class

A

Antidysrhythmic, Class 1A Sodium Channel Blocker

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2
Q

Procainamide

Action

A

Decreases dromotropy and automaticacity and increases refractory period to suppress ventricular ectopy, decrease myocardial excitability, increases the lengths of the QRS and QT wave

Mild neegative inotropic Properties

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3
Q

Procainamide

Indications

A

All tachy dysrhythmias including SVT, a-fib, a-flutter, v-tach, v-fib

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4
Q

Procainamide

Contraindications

A

Hypersensitivity, 2nd or 3rd degree blocks, Torsades de Pointes, Brady, Dig Toxicity

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5
Q

Procainamide

Adult Dose:

A

IV: 100 mg over 5 min
IVPB: 20 mg/min, 17 mg/kg max
Maintenance: 1-4 mg/min

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6
Q

Procainamide

Pedi Dose:

A

15 mg/kg over 30-60 min

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7
Q

Procainamide

Side Effects

A

Hypotension, Dizziness, Headache, Heart block, seizures, confusion

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