Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 There are many ways to do it, but to me this makes the most sense. Figure out the maximum dose (17 mg/kg) and inject that into your bag of fluid, then set it to run at whatever rate you want to give it (20-50 mg/min). Gene G. > > How many out there still use this drug in their protocols? What is the > common mixture for this drug when placing in IV? I've seen 1g in 250, 2g in 500, > 100mg in 100. > > This was brought up and trying to figuer it out. > > Wayne > > > ------------ -------- -------- -- > Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates > starting at 1¢/min. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 How many out there still use this drug in their protocols? What is the common mixture for this drug when placing in IV? I've seen 1g in 250, 2g in 500, 100mg in 100. This was brought up and trying to figuer it out. Wayne --------------------------------- Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2006 Report Share Posted July 14, 2006 my book says 20mg/min for pulseless v-tach,v-fib,a-fib.a-flutter.50mg/min for refractory v-fib to a max dose of 17mg per kg Procainamide How many out there still use this drug in their protocols? What is the common mixture for this drug when placing in IV? I've seen 1g in 250, 2g in 500, 100mg in 100. This was brought up and trying to figuer it out. Wayne ------------ --------- --------- --- Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2006 Report Share Posted July 16, 2006 I had to figure this out about a year ago when I started having to teach it. The dosing is 20-30 mg/ min. Most people can rattle that off but have no idea of the mechanics of actually making it do that. I know I didn't. So...here is what I figured to be the easiest way: Place 1 gram in a 250 ml bag or 2g in 500 ml(4mg/ml.) Run it through a 10 gtts set at 60 gtts/ min(1 gtts/second.) That equates to 24 mg/min. Hope that helped you. > > How many out there still use this drug in their protocols? What is the common mixture for this drug when placing in IV? I've seen 1g in 250, 2g in 500, 100mg in 100. > > This was brought up and trying to figuer it out. > > Wayne > > > --------------------------------- > Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2006 Report Share Posted July 16, 2006 - Another way to mix it would be to put 1 gram in a 50cc burretrol and run it wide open and that gives you 20 mg/min. It should take about 5 minutes to infuse. However in reality, " eye ball " it and titrate to effect. Hope this helps. Take care. -brian- -- In texasems-l , wegandy1938@... wrote: > > There are many ways to do it, but to me this makes the most sense. Figure > out the maximum dose (17 mg/kg) and inject that into your bag of fluid, then > set it to run at whatever rate you want to give it (20-50 mg/min). > > Gene G. > > > > > > > How many out there still use this drug in their protocols? What is the > > common mixture for this drug when placing in IV? I've seen 1g in 250, 2g in 500, > > 100mg in 100. > > > > This was brought up and trying to figuer it out. > > > > Wayne > > > > > > ------------ -------- -------- -- > > Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates > > starting at 1¢/min. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2006 Report Share Posted July 16, 2006 Eye Ball it? Your kidding right? Re: Procainamide - Another way to mix it would be to put 1 gram in a 50cc burretrol and run it wide open and that gives you 20 mg/min. It should take about 5 minutes to infuse. However in reality, " eye ball " it and titrate to effect. Hope this helps. Take care. -brian- -- In texasems-l@yahoogro ups.com, wegandy1938@ ... wrote: > > There are many ways to do it, but to me this makes the most sense. Figure > out the maximum dose (17 mg/kg) and inject that into your bag of fluid, then > set it to run at whatever rate you want to give it (20-50 mg/min). > > Gene G. > > > > > > > How many out there still use this drug in their protocols? What is the > > common mixture for this drug when placing in IV? I've seen 1g in 250, 2g in 500, > > 100mg in 100. > > > > This was brought up and trying to figuer it out. > > > > Wayne > > > > > > ------------ -------- -------- -- > > Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates > > starting at 1¢/min. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2006 Report Share Posted July 16, 2006 If you infuse 1 gram of ANYTHING over a five minutes, regardless of the delivery method, you're giving 200mg/min - not 20. That's a little out of " eyeball " it range - by a factor of 10. BTW, how can you titrate procainamide to effect? What do you look for, acutely, that says " enough, " and what are the signs that you've given too much (and it's not working)? Can you enlighten us? <worried look> Mike > > - > Another way to mix it would be to put 1 gram in a 50cc burretrol and > run it wide open and that gives you 20 mg/min. It should take about > 5 minutes to infuse. > > However in reality, " eye ball " it and titrate to effect. > > Hope this helps. Take care. > > -brian- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2006 Report Share Posted July 16, 2006 " eyeball " and " titrate to effect " ?? Holy Schnikes! Please, Please tell me you are not serious! {very, very worried look} I could say more but I think I'll shut my mouth before I insert a foot into it or worse piss someone on the list off! > > > > - > > Another way to mix it would be to put 1 gram in a 50cc burretrol and > > run it wide open and that gives you 20 mg/min. It should take about > > 5 minutes to infuse. > > > > However in reality, " eye ball " it and titrate to effect. > > > > Hope this helps. Take care. > > > > -brian- > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2006 Report Share Posted July 17, 2006 I teach to put 1 gram into 250 ml (concentration 4mg/ml) and run it at 75 drops/min on a maxi set. (We carry 15 drop maxi sets.) This will deliver 5 ml/min= 20 mg/min. As far as " eyeballing it " , I prefer the term " titrate to effect " until you see: 1) The drug work so fix the tachycardia (in which case you stop the bolus drip and start a maint. drip at 2 mg/min) OR 2) you reach the max dose of 17 mh/kg OR 3) hypotension develops OR 4) the QRS complex on the EKG widens by more than 50% from baseline, in which case the conduction velocity through the ventricular muscle mass is being overly suppressed. (Procainamide is a Class 1a sodium channel blocker) Hope that relieves some of the " worried looks " Chris Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2006 Report Share Posted July 17, 2006 EDIT of course I meant " to fix " the tachycardia and the maximum is 17 mg/kg. Sorry about that. Chris Quote Link to comment Share on other sites More sharing options...
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