Procainamide (Pronestyl) Nursing Considerations
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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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Dysrhythmias
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Multisystem
- Cardiac Disorders
- Renal
- Fundamentals of Emergency Nursing
- Adult
- Medication Administration
- Disorders of the Adrenal Gland
- Disorders of the Thyroid & Parathyroid Glands
- Central Nervous System Disorders – Brain
- Vascular Disorders
- Depressive Disorders
- Urinary System
- Eating Disorders
- Shock
- Emergency Care of the Trauma Patient
- Communication
- Basics of NCLEX
- Renal Disorders
- Upper GI Disorders
- Intraoperative Nursing
- EENT Disorders
- Labor Complications
- Bipolar Disorders
- Acute & Chronic Renal Disorders
- Substance Abuse Disorders
- Anxiety Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Trauma-Stress Disorders
- Postpartum Complications
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Noninfectious Respiratory Disorder
- Somatoform Disorders
- Emergency Care of the Neurological Patient
- Neurological Emergencies
- Respiratory Disorders