USUAL DOSE. 50 mg three times daily
taken at least 1 hour before meals with a full glass
Procainamide Hydrochloride (Pronestyl,
ACTION AND USE. This drug is indicated
for the treatment of various arrhythmias.
USUAL DOSE. Oral administration is
preferred to the parenteral route. Dosage is in-
dividualized to meet the patients needs and
responses. It is available as tablets, capsules,
sustained-release tables, and injections.
The opposite of vasodilators, these drugs pro-
duce constriction of the blood vessels with con-
sequent rise in blood pressure.
Epinephrine (Adrenalin, Sus-Phrine)
ACTION AND USE. Most prominent ac-
tions are on the heart, producing a rapid rise in
blood pressure, increased strength of ventricular
contraction, increase in the heart rate, and con-
striction of the arterioles in the skin and mucosa.
It also relaxes the smooth muscles of the bron-
chi, and produces an increase in blood sugar and
glycogenolysis in the liver. It is the drug of choice
USUAL DOSE. T0 treat cardiac arrest, ad-
minister intravenously as an adjunct to external
cardiac compression at 0.5 to 1 mg every 5
minutes. For anaphylaxis, give 0.3 to 0.6 mg sub-
cutaneously; intramuscular injection should be
avoided since the action of epinephrine may cause
necrosis of the muscular tissue. Sus-Phrine is a
suspension for subcutaneous use only; it is for the
temporary relief from bronchial asthma attacks.
Tetrahydrozaline Hydrochloride (Visine)
ACTION AND USE. This is an ophthalmic
preparation for the symptomatic relief of irritated
USUAL DOSE. 2 to 3 drops every 3 to 4
ACTION AND USE. Phenylephrine
hydrochloride is used to shrink mucous mem-
branes of the nose and to relieve local congestion.
USUAL DOSE. A 0.25 percent solution, in-
still 1 to 3 drops into each nostril four times daily
Oxymetazoline Hydrochloride (Afrin)
ACTION AND USE. A topical vasocon-
strictor, it is used to relieve nasal congestion.
USUAL DOSE. A 0.05 percent solution,
spray the affected nostril twice daily. DO NOT
USE FOR LONGER THAN 3 DAYS.
These are drugs that control external bleeding
by forming a clot.
Absorbable Gelatin Sponge
ACTION AND USE. This is a sterile, water-
insoluble, gelatin base sponge. It is used as a
hemostatic agent when saturated with a sterile
normal saline solution or a thrombin solution. It
may be left in the body since it is slowly absorbed.
These drugs delay or prevent blood coagula-
tion. Use of these agents requires laboratory
facilities to determine prothrombin time and par-
tial thromboplastin time values to determine
ACTION AND USE. Heparin sodium in-
hibits the clotting of blood and the formation of
fibrin clots. It is used in anticoagulant therapy in
prophylaxis of venous thrombosis and as a treat-
ment to prevent its extension, as well as in the pro-
phylaxis and treatment of pulmonary embolism.
USUAL DOSE. As prescribed by a
Warfarin Sodium (Coumadin)
ACTION AND USE. This drug interferes
with prothrombin formation in the liver. It is used