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.