05.03 Procainamide (Pronestyl)

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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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