Premature Ventricular Contractions (PVC) - Revision history

Mfrdmanager at 13:39, 13 November 2020

2020-11-13T13:39:16Z

Mfrdmanager: Protected "Premature Ventricular Contractions (PVC)" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T14:02:38Z

Protected "Premature Ventricular Contractions (PVC)" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: 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..."

2018-02-10T14:02:32Z

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

* Administer LIDOCAINE 1 to 1.5 mg/kg IVP, IO
**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 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|0405]]

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 * 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.
+* [[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''':
 ** 6 per minute

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