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 (B)</p> Signup and view all the answers

What is a contraindication for Procainamide?

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

What is a serious adverse effect of Procainamide?

<p>Hypotension (C)</p> Signup and view all the answers

What are the end points of administration for Procainamide?

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

Which condition is a contraindication for using Procainamide?

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

What is the action mechanism of Procainamide in the body?

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

What is the adult maintenance drip rate for Procainamide?

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

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

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

What is the main classification of Pronestyl (Procainamide)?

<p>Class I Antiarrhythmic (C)</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 (B)</p> Signup and view all the answers

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

<p>Vasodilation (C)</p> Signup and view all the answers

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

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

Which condition would contraindicate the use of Procainamide?

<p>Torsades de Pointes (A)</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 (B)</p> Signup and view all the answers

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

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

Which of the following is NOT an indication for Procainamide?

<p>Supraventricular tachycardia (C)</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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Second-degree AV block (B)</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 (D)</p> Signup and view all the answers

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

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

Which condition is NOT a contraindication for using Procainamide?

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

What action of Procainamide helps suppress re-entry arrhythmias?

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

What is a potential end point of administration for Procainamide?

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

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

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

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

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

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

<p>1st degree AV block (B)</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 (C)</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 (D)</p> Signup and view all the answers

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

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

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

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

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

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

Which condition is a contraindication for using Procainamide?

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

What is the adult maintenance drip rate for Procainamide?

<p>1-4 mg/min (C)</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% (C)</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 (C)</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 (D)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

<p>Torsades de Pointes (B)</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 (A)</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 (A)</p> Signup and view all the answers

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