Procainamide

Antidysrhythmic

• Procan
• Promine
• Procanbid
• Pronestyl

Depresses excitability of myocardium and decreases conduction velocity through atria, His -Purkinje systems, and ventricles. Suppresses automaticity and prolongs refractory period

1. Cardiac arrest with V-Fib, V-Tach refractory to Lidocaine

2. Stable V-Tach , refractory PSVT, A-Fib with RVR in WPW syndrome

1. Hypersensitivity

2.Myasthenia gravis in nonearrest pt

3. High degree AV block

4.Digitalis Toxicity

5. Electrolyte imbalances

6.AMI

7. CHF

1. Hypotension

2. Dizziness

3.Dysrhythmias

4.Nausea/Vomiting

ADULT: V-Fib, pulseless V-Tach 20mg/min IV to max 17mg/kg

"Not commonly administered in the field for perfusing rhythmias"

• 10-30 min
• peak 15-60 min