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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Cardiology

Concepts Covered:

  • Circulatory System
  • Emergency Care of the Cardiac Patient
  • Preoperative Nursing
  • Terminology
  • Cardiac Disorders
  • Shock
  • Shock
  • Acute & Chronic Renal Disorders
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Immunological Disorders
  • Medication Administration
  • Vascular Disorders
  • Studying
  • Lower GI Disorders
  • Oncology Disorders
  • Cardiovascular
  • Noninfectious Respiratory Disorder
  • Emergency Care of the Respiratory Patient
  • Respiratory Emergencies
  • Emergency Care of the Trauma Patient
  • Intraoperative Nursing

Study Plan Lessons

Intro to Circulatory System
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
Cardiac (Heart) Physiology
EKG (ECG) Course Introduction
EKG (ECG) Waveforms
Electrical A&P of the Heart
Electrical Activity in the Heart
Intro to Circulatory System
Intro to Health Assessment
Introduction to Health Assessment
The EKG (ECG) Graph
The Heart
Cardiac Terminology
Pharmacology Terminology
Diagnostics Terminology
02.06 Heart Murmurs for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
ACE (angiotensin-converting enzyme) Inhibitors
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Kidney Injury Case Study (60 min)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
AIDS Case Study (45 min)
Angiotensin Receptor Blockers
Anti-Platelet Aggregate
Atenolol (Tenormin) Nursing Considerations
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Blood Flow Through The Heart
Brain Natriuretic Peptide (BNP) Lab Values
Brain Tumors
Calcium Channel Blockers
Cardiac (Heart) Enzymes
Cardiac A&P Module Intro
Cardiac Anatomy
Cardiac Course Introduction
Cardiac Stress Test
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)
Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiovascular Angiography
Cardiovascular Disorders (CVD) Module Intro
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Coronary Circulation
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypertensive Emergency
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Procainamide (Pronestyl) Nursing Considerations
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Sinus Bradycardia
Sinus Tachycardia
Supraventricular Tachycardia (SVT)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)