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First dose: 6 mg rapid IV push; follow with NS flush. Second dose: 12 mg if required. Antiarrhythmic Infusions for Stable Wide-QRS Tachycardia Procainamide IV dose: 20-50 mg/min until arrhythmia suppressed, hypotension ensues, QRS duration increases >50%, or maximum dose 17 mg/kg given.
Are you unsure about the procainamide dose for ACLS? Learn about procainamide dosage recommendations, side effects, and more for effective treatment.
Schematic representation of ALS recommendations for use of advanced airways during CPR. ALS indicates advanced life support; CPR, cardiopulmonary resuscitation; and EMS, emergency medical services. PDF Download Accessible Text Version (PDF) Figure 8.
3 Σεπ 2024 · Detailed Procainamide dosage information for adults and children. Includes dosages for Arrhythmias; plus renal, liver and dialysis adjustments.
Adult Dosage for Procainamide: The use of procainamide is limited in ACLS for cardiac arrest , due to its requirement of slow infusion and its somewhat unknown effectiveness. If used for recurrent ventricular fibrillation and pulseless ventricular tachycardia, 20 mg/min should be given via IV infusion to a total dose of 17 mg/kg.
When multiple doses are administered, cumulative doses >2.2 g/24 hours are associated with signifi-cant hypotension in clinical trials. Do not routinely administer with other drugs that prolong QT interval (eg, procainamide). Terminal elimination is extremely long (half-life lasts up to 40 days).
2 Ιουν 2024 · ACLS procainamide guidelines: Loading dose: Infuse 20 mg/minute until you control arrhythmia and the QRS widens enough. To complete the dosage, give 50 mg/kg by breaking it into smaller pieces (1/8 to 1/4) and injecting it every 3 to 6 hours, or 0.5 to 1 g every 4 to 8 hours.