Procainamide Drug Information Quiz
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Questions and Answers

What is the classification of Procainamide?

  • Class IV Antiarrhythmic
  • Class III Antiarrhythmic
  • Class II Antiarrhythmic
  • Class I Antiarrhythmic (correct)

    • What is the main indication for Procainamide?

  • Treats bradycardia
  • Treats hypertension
  • Treats atrial fibrillation
  • Suppresses ventricular ectopy (correct)

    • What is the adult dosage for IV Procainamide for arrhythmias?

  • 20-50 mg/min to a maximum of 17 mg/kg
  • 10-20 mg/min to a maximum of 10 mg/kg
  • Both b and c (correct)
  • 1-4 mg/min for maintenance

    • What is the pediatric dosage for IV Procainamide for arrhythmias?

    <p>20-80 mcg/kg/min up to 100 mg</p> Signup and view all the answers

    What is a contraindication for Procainamide?

    <p>2nd or 3rd degree AV block</p> Signup and view all the answers

    What is a serious adverse effect of Procainamide?

    <p>Hypotension</p> Signup and view all the answers

    What are the end points of administration for Procainamide?

    <p>Arrhythmia starts</p> Signup and view all the answers

    Which condition is a contraindication for using Procainamide?

    <p>2nd or 3rd degree AV block</p> Signup and view all the answers

    What is the action mechanism of Procainamide in the body?

    <p>Decreases automaticity, excitability, and contractility</p> Signup and view all the answers

    What is the emergent dose range for Procainamide in cases of recurrent VF/pVT?

    <p>20-50 mg/min</p> Signup and view all the answers

    What is the adult maintenance drip rate for Procainamide?

    <p>1-4 mg/min</p> Signup and view all the answers

    What is an adverse reaction that can be caused by Procainamide?

    <p><strong>Drug-induced Lupus</strong></p> Signup and view all the answers

    What is the main classification of Pronestyl (Procainamide)?

    <p>Class I Antiarrhythmic</p> Signup and view all the answers

    What is a potential end point of administration of Procainamide in relation to the QRS complex?

    <p>50% widening of QRS</p> Signup and view all the answers

    What is a possible adverse reaction of Pronestyl that may cause hypotension?

    <p>Vasodilation</p> Signup and view all the answers

    What is a characteristic action of Procainamide that helps suppress re-entry arrhythmias?

    <p>Slows AV conduction</p> Signup and view all the answers

    Which condition would contraindicate the use of Procainamide?

    <p>Torsades de Pointes</p> Signup and view all the answers

    What is the recommended dosage for Pediatric Arrhythmias for Pronestyl?

    <p>Loading dose of 15mg/kg over a minimum of 30 minutes</p> Signup and view all the answers

    What is the recommended maximum total dose of IV Procainamide for an adult?

    <p>17 mg/kg</p> Signup and view all the answers

    Which of the following is NOT an indication for Procainamide?

    <p>Supraventricular tachycardia</p> Signup and view all the answers

    What is the concentration of a Procainamide IV drip when mixing 1 gram in 50 mL of normal saline?

    <p>20 mg/mL</p> Signup and view all the answers

    Which of the following is a potential end point for discontinuing Procainamide administration?

    <p>Lengthening of the QT interval</p> Signup and view all the answers

    Which of the following is a contraindication for the use of Procainamide?

    <p>Second-degree AV block</p> Signup and view all the answers

    What is the recommended loading dose of Procainamide for pediatric arrhythmias?

    <p>15 mg/kg over 60 minutes</p> Signup and view all the answers

    What is one of the adult maintenance drip rates for Procainamide?

    <p>1-4 mg/min</p> Signup and view all the answers

    Which condition is NOT a contraindication for using Procainamide?

    <p>Atrial fibrillation</p> Signup and view all the answers

    What action of Procainamide helps suppress re-entry arrhythmias?

    <p>Slows AV conduction</p> Signup and view all the answers

    What is a potential end point of administration for Procainamide?

    <p><strong>QT interval lengthens</strong></p> Signup and view all the answers

    Which of the following is a serious adverse reaction of Procainamide?

    <p><strong>Drug-induced Lupus</strong></p> Signup and view all the answers

    What is the vasodilatory effect associated with higher doses of Procainamide?

    <p><strong>Increases VF threshold</strong></p> Signup and view all the answers

    Which condition is a contraindication for using Pronestyl (Procainamide)?

    <p>1st degree AV block</p> Signup and view all the answers

    What is the recommended loading dose of Pronestyl (Procainamide) for pediatric arrhythmias?

    <p>15mg/kg over 30 minutes</p> Signup and view all the answers

    Which of the following describes an end point for Pronestyl (Procainamide) administration?

    <p>Shortening of the PR interval</p> Signup and view all the answers

    What action mechanism of Pronestyl (Procainamide) helps suppress re-entry arrhythmias?

    <p>Slows AV conduction</p> Signup and view all the answers

    Which of the following is a potential adverse reaction caused by Pronestyl (Procainamide)?

    <p>Drug-induced Lupus</p> Signup and view all the answers

    If a patient develops hypotension during Pronestyl (Procainamide) administration, what serious adverse effect should be considered?

    <p>Serious arrhythmias</p> Signup and view all the answers

    What is the recommended maximum total dose of IV Procainamide for an adult?

    <p>17 mg/kg</p> Signup and view all the answers

    Which condition is a contraindication for using Procainamide?

    <p>Second or third-degree AV block</p> Signup and view all the answers

    What is the adult maintenance drip rate for Procainamide?

    <p>1-4 mg/min</p> Signup and view all the answers

    What is a potential end point of administration of Procainamide in relation to the QRS complex?

    <p>QRS widens by 50%</p> Signup and view all the answers

    What is the recommended loading dose of Procainamide for pediatric arrhythmias?

    <p>15 mg/kg over 30 minutes</p> Signup and view all the answers

    What is the emergent dose range for Procainamide in cases of recurrent VF/pVT?

    <p>20-50 mg/min</p> Signup and view all the answers

    Which of the following is NOT a potential end point for discontinuing Procainamide administration?

    <p>QRS complex narrows</p> Signup and view all the answers

    Which of the following is a potential serious adverse reaction associated with Procainamide?

    <p>Drug-induced lupus</p> Signup and view all the answers

    What is the maximum total dose of IV Procainamide for an adult with arrhythmias?

    <p>$17\text{ mg}/\text{kg}$</p> Signup and view all the answers

    Which of the following is a contraindication for the use of Procainamide?

    <p>Torsades de Pointes</p> Signup and view all the answers

    What is the recommended loading dose of Procainamide for pediatric arrhythmias?

    <p>$15\text{ mg}/\text{kg}$ over 30 minutes</p> Signup and view all the answers

    Which of the following is an action mechanism of Procainamide that helps suppress re-entry arrhythmias?

    <p>Decreases AV conduction</p> Signup and view all the answers

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