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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Pharmacology

Concepts Covered:

  • Depressive Disorders
  • Medication Administration
  • Learning Pharmacology
  • Circulatory System
  • Upper GI Disorders
  • Concepts of Pharmacology
  • Studying
  • Test Taking Strategies
  • Tissues and Glands
  • Neurological
  • Pregnancy Risks
  • Emergency Care of the Cardiac Patient
  • Microbiology
  • Cardiac Disorders
  • Nervous System
  • Intraoperative Nursing
  • Central Nervous System Disorders – Brain
  • Immunological Disorders
  • Fundamentals of Emergency Nursing
  • Understanding Society
  • Gastrointestinal Disorders
  • Hematologic Disorders
  • Adulthood Growth and Development
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postpartum Complications
  • Postoperative Nursing
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Newborn Care
  • Psychotic Disorders
  • Anxiety Disorders
  • Vascular Disorders
  • Peripheral Nervous System Disorders
  • Prenatal Concepts
  • Substance Abuse Disorders

Study Plan Lessons

MAOIs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Selecting THE vein
Ranitidine (Zantac) Nursing Considerations
Pharmacology Course Introduction
Pharmacokinetics Nursing Mnemonic (ADME)
12 Points to Answering Pharmacology Questions
Tattoos IV Insertion
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Mannitol (Osmitrol) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Atropine (Atropen) Nursing Considerations
Barbiturates
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Combative: IV Insertion
Dark Skin: IV Insertion
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Epoetin Alfa
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
Ketorolac (Toradol) Nursing Considerations
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Parasympathomimetics (Cholinergics) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Positioning
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Sedatives-Hypnotics
Streptokinase (Streptase) Nursing Considerations
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Verapamil (Calan) Nursing Considerations
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Fentanyl (Duragesic) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bariatric: IV Insertion
Atenolol (Tenormin) Nursing Considerations
Antidepressants
Antianxiety Meds
Anesthetic Agents
Neostigmine (Prostigmin) Nursing Considerations
Opioid Analgesics in Pregnancy
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pharmacodynamics
Pharmacokinetics
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Interactive Pharmacology Practice
Hydromorphone (Dilaudid) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydralazine
Eye Prophylaxis for Newborn