Generic versions may be available.Panchal AR, Berg KM, Hirsch KG, et al. The brand name Pronestyl is discontinued in the U.S. Pronestyl (procainamide hydrochloride) is a cardiac antiarrhythmic drug used to help keep the heart beating normally in people with certain heart rhythm disorders of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). Patients with lung disease or damage may need to use portable oxygen devices on a temporary or permanent basis. It can be delivered via nasal tubes, an oxygen mask, or an oxygen tent. Oxygen may be given in a medical setting, either to reduce the volume of other gases in the blood or as a vehicle for delivering anesthetics in gas form. Oxygen is the odorless gas that is present in the air and necessary to maintain life. Magnesium sulfate is available under the following different brand names: MgSO4. Magnesium sulfate injection is also used for pediatric acute nephritis and to prevent seizures in severe pre-eclampsia, eclampsia, or toxemia of pregnancy. Magnesium sulfate is a naturally occurring mineral used to control low blood levels of magnesium. Lidocaine is available under the following different brand names: Lidocaine CV, and Lidopen. It works by causing a temporary loss of feeling in the area where you apply the patch. Lidocaine belongs to a class of drugs known as local anesthetics. Lidocaine helps to reduce sharp/burning/aching pain as well as discomfort caused by skin areas that are overly sensitive to touch. This type of pain is called post-herpetic neuralgia. Lidocaine is used to relieve nerve pain after shingles (infection with the herpes zoster virus). Epinephrine acts quickly to improve breathing, stimulate the heart, raise a dropping blood pressure, reverse hives, and reduce swelling of the face, lips, and throat. It's used in emergencies to treat very serious allergic reactions to insect stings/bites, foods, drugs, or other substances. Adrenaline is normally produced by both the adrenal glands and a small number of neurons in the medulla oblongata where it acts as a neurotransmitter involved in regulating visceral functions. EpinephrineĪdrenaline, also known as epinephrine, is a hormone and medication. Dopamineĭopamine is indicated for the correction of hemodynamic imbalances present in the shock syndrome due to myocardial infarction, trauma, endotoxic septicemia, open-heart surgery, renal failure, and chronic cardiac decompensation as in congestive failure. It is typically given intravenously or by injection into a muscle. AtropineĪtropine is a medication used to treat certain types of nerve agent and pesticide poisonings as well as some types of slow heart rate and to decrease saliva production during surgery. It works by blocking certain electrical signals in the heart that can cause an irregular heartbeat. It is used to restore normal heart rhythm and maintain a regular, steady heartbeat.Īmiodarone is known as an anti-arrhythmic drug. AmiodaroneĪmiodarone is used to treat certain types of serious (possibly fatal) irregular heartbeat (such as persistent ventricular fibrillation/tachycardia). Medications and interventions that we'll be looking at in detail in the upcoming ProPALS course section are: AdenosineĪdenosine is a prescription drug used for conversion to sinus rhythm of paroxysmal supraventricular tachycardia (PVST), including that associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome).Īdenosine is available under the following different brand names: Adenocard, and Adenoscan. You'll also need to know when to use which drug based on each clinical situation. A basic understanding of pharmacology information includes the indications, contraindications, and methods of administration for each. It's important that you know basic information about medications and other interventions used in the PALS algorithms. Rather than merely reacting to and relying on the rhythms that are being displayed on the ECG monitor. Which is why treating the patient's symptoms, particularly when it comes to pulseless electrical activity, is so important. ![]() Warning: The ECG interpretation for a patient exhibiting signs of PEA could be the same as normal sinus rhythm.
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