Premature Ventricular Contractions (PVC) - Revision history

Treloars at 14:33, 24 April 2020

2020-04-24T14:33:04Z

← Older revision		Revision as of 14:33, 24 April 2020
Line 7:		Line 7:
	* Hypoxia, [[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01).		* Hypoxia, [[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01).
	* Side-effects of other drugs, etc.		* Side-effects of other drugs, etc.
	* [[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01). - [[~~Medical Gases~~\|OXYGEN]] @ 100% via NRB mask or assist with BVM.		* [[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01). - [[Oxygen\|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''':		* Treat if PVCs are consistent in patients with signs and symptoms which suggest '''angina / myocardial infarction''':
	** 6 per minute		** 6 per minute

Treloars at 15:43, 1 February 2018

2018-02-01T15:43:48Z

← Older revision		Revision as of 15:43, 1 February 2018
Line 20:		Line 20:
	*** In patients over age 70 or in those with known hepatic disease, repeat doses need to be carefully titrated to suppress PVC’s given over a long period of time. These patients may have reduced lidocaine clearance therefore can reach toxic levels or develop seizures with doses lower than 3 mg/kg.		*** In patients over age 70 or in those with known hepatic disease, repeat doses need to be carefully titrated to suppress PVC’s given over a long period of time. These patients may have reduced lidocaine clearance therefore can reach toxic levels or develop seizures with doses lower than 3 mg/kg.

	[[Category:Cardiac]]		[[Category:Cardiac\|0405]]

Treloars: /* 4.05 PREMATURE VENTRICULAR CONTRACTIONS (PVC) */

2013-03-18T15:02:13Z

4.05 PREMATURE VENTRICULAR CONTRACTIONS (PVC)

← Older revision		Revision as of 15:02, 18 March 2013
Line 14:		Line 14:
	**Runs of V-Tach / Couplets		**Runs of V-Tach / Couplets

	* ~~[[Antiarrhythmics\|~~LIDOCAINE]] 1 mg / kg IVP		* Administer LIDOCAINE 1 to 1.5 mg/kg IVP, IO
	**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.		**Patients receiving LIDOCAINE need to receive a full loading dose titrated to suppress the PVC’s.
	**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 LIDOCAINE gradually up to a full initial loading dose or until a maximum of 1.5 mg/kg administered.
			**If recurrent or refractory and patient is symptomatic, administer bolus of LIDOCAINE 0.5 mg/kg IVP, IO 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, repeat doses need to be carefully titrated to suppress PVC’s given over a long period of time. These patients may have reduced lidocaine clearance therefore can reach toxic levels or develop seizures with doses lower than 3 mg/kg.

	[[Category:Cardiac]]		[[Category:Cardiac]]

Treloars: /* Section 4 - CARDIAC */

2012-04-02T01:38:37Z

Section 4 - CARDIAC

← Older revision		Revision as of 01:38, 2 April 2012
Line 17:		Line 17:
	**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]]

Treloars: 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..."

2012-02-02T21:26:36Z

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..."

New page

==Section 4 - CARDIAC==
===4.05 PREMATURE VENTRICULAR CONTRACTIONS (PVC)===

'''''CONSIDER MEDICAL ETIOLOGY OF PVC’s AND REFER TO APPROPRIATE PRACTICE PARAMETER:'''''

* Hypoxia, [[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01).
* Side-effects of other drugs, etc.
* [[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01). - [[Medical Gases|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

* [[Antiarrhythmics|LIDOCAINE]] 1 mg / kg IVP
**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.