Premature Ventricular Contractions (PVC): Difference between revisions
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(Created page with "==Section 4 - CARDIAC== ===4.05 PREMATURE VENTRICULAR CONTRACTIONS (PVC)=== '''''CONSIDER MEDICAL ETIOLOGY OF PVC’s AND REFER TO APPROPRIATE PRACTICE PARAMETER:''''' * H...") |
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**If recurrent or refractory and patient is symptomatic, administer bolus of [[Antiarrhythmics|LIDOCAINE]] 0.5 mg / kg IVP and repeat as necessary up to a total administration of 3 mg/kg. | **If recurrent or refractory and patient is symptomatic, administer bolus of [[Antiarrhythmics|LIDOCAINE]] 0.5 mg / kg IVP and repeat as necessary up to a total administration of 3 mg/kg. | ||
**In patients over age 70 or in those with known hepatic disease, administer [[Antiarrhythmics|LIDOCAINE]] boluses at 0.25 mg / kg until maximum of 1.5 mg / kg administered. | **In patients over age 70 or in those with known hepatic disease, administer [[Antiarrhythmics|LIDOCAINE]] boluses at 0.25 mg / kg until maximum of 1.5 mg / kg administered. | ||
[[Category:Cardiac]] | |||
Revision as of 01:38, 2 April 2012
Section 4 - CARDIAC
4.05 PREMATURE VENTRICULAR CONTRACTIONS (PVC)
CONSIDER MEDICAL ETIOLOGY OF PVC’s AND REFER TO APPROPRIATE PRACTICE PARAMETER:
- Hypoxia, INITIAL MEDICAL CARE (2.01).
- Side-effects of other drugs, etc.
- INITIAL MEDICAL CARE (2.01). - OXYGEN @ 100% via NRB mask or assist with BVM.
- Treat if PVCs are consistent in patients with signs and symptoms which suggest angina / myocardial infarction:
- 6 per minute
- Multifocal
- R on T phenomena
- Runs of V-Tach / Couplets
- LIDOCAINE 1 mg / kg IVP
- If recurrent or refractory and patient is symptomatic, administer bolus of LIDOCAINE 0.5 mg / kg IVP and repeat as necessary up to a total administration of 3 mg/kg.
- In patients over age 70 or in those with known hepatic disease, administer LIDOCAINE boluses at 0.25 mg / kg until maximum of 1.5 mg / kg administered.