Procainamide (Pronestyl) Nursing Considerations

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Generic Name



wide variety ventricular and atrial arrhythmias, PAC, PVC, VTach, post cardioversion


decreases excitability and slows conduction velocity through the heart

Therapeutic Class

antiarrhythmic (Class IA Na Channel Blocker)

Nursing Considerations

• may cause ventricular arrhythmias, seizure, asystole, heart block
• monitor EKG continuously may cause widening of QRS complex
• may cause hypotension keep patient supine
• monitor for signs of agranulocytosis monitor CBC frequently
• can cause drug induced lupus syndrome

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Hey guys, let’s take a look at the drug ProCan amide also known as PROEs still, this is an oral and IV medication. So the therapeutic class of ProCan amide or how it works in the body is an antirrhythmic and the pharmacologic glass or the chemical effect of the drug is a sodium channel blocker per in mind works by decreasing excitability and slowing conduction through the heart, which is why we use it for various types of ventricular and atrial arrhythmias, including PS PVCs, VTAC, and also post cardioversion common side effects that we see with PIDE are hypotension agranulocytosis seizures and arrhythmias, a few nursing considerations for PIDE. It may cause heart block and ays. So be aware of this monitor your patient’s EKG continuously as this drug may cause Q R S complex widening CBC should frequently be assessed as a granulosis is a concern and teach the patient to signs of an infection. And guys use this drug in extreme caution with patients who have myasthenia gravis Proin may cause a higher level of neuromuscular transmission blockade. That’s it for pro amide or pros still now go out and be your best self today and as always happy nursing. Bye.

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