tablet-yellow

Procainamide (Pronestyl, Procanbid)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Classification:
Class Ia antiarrhythmic (sodium-channel blocker)
Therapeutic Effects:
Antiarrhythmic, terminates and controls ventricular and supraventricular arrhythmias including stable wide-complex tachycardia and pre-excited atrial fibrillation
Primary Considerations:

Infusion discipline - Load slowly (up to 50 mg/min, or 15 mg/kg over 30-60 min); STOP for hypotension, QRS widening >50% of baseline, arrhythmia termination, or reaching the max dose. Continuous ECG...

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