procainamide Flashcards

1
Q

name

A

pronestyl

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2
Q

description

A

second-line ventricular antidysrhythmic, Na+ channel blocker

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3
Q

mechanism of action

A

reduces automaticity of ectopic pacemakers
suppresses reentry dysrhythmias by slowing intraventricular conduction

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4
Q

onset

A

10-30 min IV

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5
Q

half life

A

90 min

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6
Q

duration

A

3-6 hr

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7
Q

indications

A

vtach w/ a pulse or w/o v-fib SVT

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8
Q

contraindications

A

2nd or 3rd degree block
torsades de pointes

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9
Q

side effects

A

hypotension
bradycardia
AV block
V tach
V fib
asystole

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10
Q

supplied

A

1g/10 ml vials
1g/ 2ml vials

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11
Q

dose/administration

A

20 mg/min IV slow push
max 17 mg/kg
infusion after conversion: 1-4 mg/min

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12
Q

special considerations

A

dysrhythmia is suppressed and hypotension develops

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