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In this lesson, we'll go over the medication procainamide and all of its effects, including indications, precautions and contraindications, and adult dosages. And at the end of the lesson, we provide you with a Word about wide complex tachycardias.
Adult Dosage of Procainamide Now let's look at the adult dosage for procainamide. Pro Tip #2: The use of procainamide is limited in ACLS for cardiac arrest due to its requirements of slow infusion, as well as its occasional unknown effectiveness.
Procainamide Dosage in ACLS. Procainamide should be used in patients with tachyarrhythmias who are deemed hemodynamically stable. Once the clinician has determined the cardiac rhythm by electrocardiogram, the clinician should begin treatment of the underlying arrhythmia with medication. Here is a dosage chart:
The initial dose of procainamide should be an infusion of 15mg/kg over a period of 30 to 60 minutes with continuous ECG monitoring and frequent blood pressure monitoring. It's also important that procainamide be administered by slow infusion to avoid toxicity from heart block, hypotension, and the prolongation of the QT interval.
8 Μαΐ 2023 · Procainamide is given IV or PO with the onset of action in 10 to 30 minutes. The loading dose is of IV procainamide is 10 to 17 mg/kg and administered at a rate of 20 to 50 mg/min. Alternatively, this may be dosed at 100 mg every 5 minutes in adult patients.
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.
