48 Questions
What is the classification of Procainamide?
Class I Antiarrhythmic
What is the main indication for Procainamide?
Suppresses ventricular ectopy
What is the adult dosage for IV Procainamide for arrhythmias?
Both b and c
What is the pediatric dosage for IV Procainamide for arrhythmias?
20-80 mcg/kg/min up to 100 mg
What is a contraindication for Procainamide?
2nd or 3rd degree AV block
What is a serious adverse effect of Procainamide?
Hypotension
What are the end points of administration for Procainamide?
Arrhythmia starts
Which condition is a contraindication for using Procainamide?
2nd or 3rd degree AV block
What is the action mechanism of Procainamide in the body?
Decreases automaticity, excitability, and contractility
What is the emergent dose range for Procainamide in cases of recurrent VF/pVT?
20-50 mg/min
What is the adult maintenance drip rate for Procainamide?
1-4 mg/min
What is an adverse reaction that can be caused by Procainamide?
Drug-induced Lupus
What is the main classification of Pronestyl (Procainamide)?
Class I Antiarrhythmic
What is a potential end point of administration of Procainamide in relation to the QRS complex?
50% widening of QRS
What is a possible adverse reaction of Pronestyl that may cause hypotension?
Vasodilation
What is a characteristic action of Procainamide that helps suppress re-entry arrhythmias?
Slows AV conduction
Which condition would contraindicate the use of Procainamide?
Torsades de Pointes
What is the recommended dosage for Pediatric Arrhythmias for Pronestyl?
Loading dose of 15mg/kg over a minimum of 30 minutes
What is the recommended maximum total dose of IV Procainamide for an adult?
17 mg/kg
Which of the following is NOT an indication for Procainamide?
Supraventricular tachycardia
What is the concentration of a Procainamide IV drip when mixing 1 gram in 50 mL of normal saline?
20 mg/mL
Which of the following is a potential end point for discontinuing Procainamide administration?
Lengthening of the QT interval
Which of the following is a contraindication for the use of Procainamide?
Second-degree AV block
What is the recommended loading dose of Procainamide for pediatric arrhythmias?
15 mg/kg over 60 minutes
What is one of the adult maintenance drip rates for Procainamide?
1-4 mg/min
Which condition is NOT a contraindication for using Procainamide?
Atrial fibrillation
What action of Procainamide helps suppress re-entry arrhythmias?
Slows AV conduction
What is a potential end point of administration for Procainamide?
QT interval lengthens
Which of the following is a serious adverse reaction of Procainamide?
Drug-induced Lupus
What is the vasodilatory effect associated with higher doses of Procainamide?
Increases VF threshold
Which condition is a contraindication for using Pronestyl (Procainamide)?
1st degree AV block
What is the recommended loading dose of Pronestyl (Procainamide) for pediatric arrhythmias?
15mg/kg over 30 minutes
Which of the following describes an end point for Pronestyl (Procainamide) administration?
Shortening of the PR interval
What action mechanism of Pronestyl (Procainamide) helps suppress re-entry arrhythmias?
Slows AV conduction
Which of the following is a potential adverse reaction caused by Pronestyl (Procainamide)?
Drug-induced Lupus
If a patient develops hypotension during Pronestyl (Procainamide) administration, what serious adverse effect should be considered?
Serious arrhythmias
What is the recommended maximum total dose of IV Procainamide for an adult?
17 mg/kg
Which condition is a contraindication for using Procainamide?
Second or third-degree AV block
What is the adult maintenance drip rate for Procainamide?
1-4 mg/min
What is a potential end point of administration of Procainamide in relation to the QRS complex?
QRS widens by 50%
What is the recommended loading dose of Procainamide for pediatric arrhythmias?
15 mg/kg over 30 minutes
What is the emergent dose range for Procainamide in cases of recurrent VF/pVT?
20-50 mg/min
Which of the following is NOT a potential end point for discontinuing Procainamide administration?
QRS complex narrows
Which of the following is a potential serious adverse reaction associated with Procainamide?
Drug-induced lupus
What is the maximum total dose of IV Procainamide for an adult with arrhythmias?
$17\text{ mg}/\text{kg}$
Which of the following is a contraindication for the use of Procainamide?
Torsades de Pointes
What is the recommended loading dose of Procainamide for pediatric arrhythmias?
$15\text{ mg}/\text{kg}$ over 30 minutes
Which of the following is an action mechanism of Procainamide that helps suppress re-entry arrhythmias?
Decreases AV conduction
Test your knowledge on Pronestyl procainamide - a Class I antiarrhythmic drug used to suppress ventricular ectopy, treat atrial fibrillation, flutter, and more. Questions cover indications, dosages, and administration protocols.
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