meds

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Author:
jenygibler
ID:
38898
Filename:
meds
Updated:
2010-10-01 01:05:02
Tags:
meds
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Description:
procainamide and magnesium sulfate
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  1. what is the dosage of magnesium sulfate in adults with torsade de pointes w/ a pulse or AMI w/ hypomagnesemia
    loading dose 1-2g mixed in 50-100 ml D5W over 5-60 min IV/IO
  2. what is the dosage of magnesium sulfate in adults in cardiac arrest due to hypomagnesemia or torsade de pointes?
    1-2g (2-4ml of a 50%solution) diluted in 10 ml of D5W IV/IO over 5-20 min
  3. what is the dosage of magnesium sulfate for adults with seizure activity w/ pregnancy
    1-4 g IV/IO over 3 min. (max 30-40g/day)
  4. what is the asthma dosage for pediatric of magnesium sulfate
    25-50 mg/kg (max 2g) over 10-20 min
  5. what is the pediatric IV/IO infusion dosage for magnesium sulfate
    25-50 mg/kg (max 2g) over 10-20 min, faster for torsade de pointe
  6. how is magnesium sulfate supplied
    10%, 12%, 50% solution in 80, 100, 125 mg/ml
  7. side effects of magnesium sulfate
    • 1. CNS depression
    • 2. circulatory collapse
    • 3. depressed reflexes
    • 4. hypotension
    • 5. diapheretic
  8. contraindications of magnesium sulfate
    • 1. heart block
    • 2. myocardial damage
  9. indications for use of magnesium sulfate
    • 1. class IIa agent for v-fib/pulseless v-tach thats refactory to lidocaine
    • 2. hypomagnesemia
    • 3. torsade de pointes
    • 4. seizures of eclampsia
  10. what class is magnesium sulfate?
    electrolyte
  11. what is the loading dose in pediatrics for procainamide
    15 mg/kg IV/IO over 30-60 min
  12. what is the maintnence infusion of procainamide in adult?
    1-4mg/min (dilute in D5W or NS)
  13. dosage of procainamide in adult for other indications
    • 20mg/min IV infusion until any one of the following occurs:
    • arrhythmia suppresion
    • hypotension
    • QRS widens by greater than 50% of its pretreatment width
    • total dose of 17mg/kg has been met
  14. dosage of procainamide for urgent situations in adult
    up to 50mg/min (max of 17mg/kg)
  15. dosage of procainamide in adult for recurrent v-fib/ pulseless v-tach
    20 mg/min iv infusion (max. 17mg/kg)
  16. how is procainamide supplied
    • 1. 1g in 10ml vials(100mg/ml)
    • 2. 1g in 2ml vials (500mg/ml) for infusion
  17. side effects of procainamide
    • 1. widening of PR, QRS, QT intervals
    • 2. AV heart block
    • 3. hypotension
    • 4. reflex tachycardia
    • 5. bradycardia
  18. major contraindications of procainamide?
    • 1. torsade de pointes
    • 2. 2nd or 3rd degree block (without pacemaker)
    • 3. digitalis toxicity
    • 4. tricyclic antidepresent overdose
  19. indications for use of procainamide?
    • 1. stable monomorphic v-tach with normal QT interval
    • 2. reentry SVT uncontrolled by vagal maneuvers & adenosine
    • 3. stable wide complex tachcardia of unknown origin
    • 4. atrial fibrilation with rapid ventricular rate in patients with wolff-parkinson white syndrome
  20. what type of drug is procainamide?
    antiarrhytmic

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