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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.
3 Σεπ 2024 · Detailed Procainamide dosage information for adults and children. Includes dosages for Arrhythmias; plus renal, liver and dialysis adjustments.
Complete ACLS Algorithms for 2024. Advanced Cardiac Life Support instructions and medications with helpful illustrated guides.
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.
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.
Results. A total of 34 consecutive patients (32 male, 94.1%; mean age 74.4 ± 9.7 years) were included in the retrospective analysis. The mean time of procainamide treatment was 12.9 ± 13.7 months (median 9 [2–20] months). The mean dose of procainamide was 1207 ± 487 mg/day.