Procainamide (Pronestyl) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

procainamide

Indication

wide variety ventricular and atrial arrhythmias, PAC, PVC, VTach, post cardioversion

Action

decreases excitability and slows conduction velocity through the heart

Therapeutic Class

antiarrhythmic (Class IA Na Channel Blocker)

Nursing Considerations

• may cause ventricular arrhythmias, seizure, asystole, heart block
• monitor EKG continuously may cause widening of QRS complex
• may cause hypotension keep patient supine
• monitor for signs of agranulocytosis monitor CBC frequently
• can cause drug induced lupus syndrome

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Transcript

Hey guys, let’s take a look at the drug ProCan amide also known as PROEs still, this is an oral and IV medication. So the therapeutic class of ProCan amide or how it works in the body is an antirrhythmic and the pharmacologic glass or the chemical effect of the drug is a sodium channel blocker per in mind works by decreasing excitability and slowing conduction through the heart, which is why we use it for various types of ventricular and atrial arrhythmias, including PS PVCs, VTAC, and also post cardioversion common side effects that we see with PIDE are hypotension agranulocytosis seizures and arrhythmias, a few nursing considerations for PIDE. It may cause heart block and ays. So be aware of this monitor your patient’s EKG continuously as this drug may cause Q R S complex widening CBC should frequently be assessed as a granulosis is a concern and teach the patient to signs of an infection. And guys use this drug in extreme caution with patients who have myasthenia gravis Proin may cause a higher level of neuromuscular transmission blockade. That’s it for pro amide or pros still now go out and be your best self today and as always happy nursing. Bye.

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Pharmy

Concepts Covered:

  • Adult
  • Medication Administration
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Anxiety Disorders
  • Depressive Disorders
  • Nervous System
  • Intraoperative Nursing
  • Gastrointestinal Disorders
  • Central Nervous System Disorders – Brain
  • Microbiology
  • Immunological Disorders
  • Circulatory System
  • Hematologic Disorders
  • Concepts of Pharmacology
  • Studying
  • Disorders of Pancreas
  • Respiratory Disorders
  • Vascular Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Prenatal Concepts
  • Learning Pharmacology
  • Newborn Care

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Antianxiety Meds
Antidepressants
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Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
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Epoetin Alfa
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Secure an IV (chevron, transparent dressing)
How to Remove (discontinue) an IV
Insulin
Hydralazine
Hydromorphone (Dilaudid) Nursing Considerations
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
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Magnesium Sulfate in Pregnancy
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
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Mood Stabilizers
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NG Tube Medication Administration
NG Tube Med Administration (Nasogastric)
Nitro Compounds
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Nystatin (Mycostatin) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
SubQ Injections
The SOCK Method – Overview
Tips & Tricks
Tips & Advice for Pediatric IV
Tips & Advice for Newborns (Neonatal IV Insertion)
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations