80181 Flecainide

Name of the Procedure:

Flecainide Administration (also known as Flecainide Acetate)

Summary

Flecainide is a medication used to treat certain types of irregular heartbeats, such as atrial fibrillation and ventricular arrhythmias. It is usually administered orally in tablet form but can also be delivered intravenously by a healthcare professional.

Purpose

Flecainide helps to restore normal heart rhythm and maintain a steady heartbeat. It is used to reduce the incidence of arrhythmias, prevent complications related to irregular heartbeats, and improve overall heart function.

Indications

• Atrial fibrillation
• Atrial flutter
• Ventricular tachycardia
• Supraventricular tachycardia

Patient criteria include confirmed diagnosis of an applicable arrhythmia and the absence of severe heart conditions that contraindicate its use.

Preparation

• Discuss all medications with your healthcare provider as some may need to be adjusted or stopped.
• Fasting is generally not required unless specified for intravenous administration in a hospital setting.
• Baseline ECG and other diagnostic tests such as blood tests may be recommended to assess heart function and ensure patient safety.

Procedure Description

Oral Administration:

1. Flecainide is prescribed and taken as a tablet, typically twice daily.
2. The dosage is individualized based on the patient’s condition and response.
3. Tablets should be taken at the same times each day, with or without food.

Intravenous Administration:

1. Performed in a hospital setting, often during acute arrhythmia episodes.
2. Flecainide is administered through an IV line.
3. Continuous monitoring of the heart function (ECG) during administration.

Duration

• Oral administration is ongoing as per the prescribed course, often reviewed regularly.
• Intravenous administration usually lasts a few hours depending on the patient's response and heart rhythm stabilization.

Setting

• Oral: At home or in any comfortable setting as instructed.
• Intravenous: Hospital, often in the emergency department or cardiac care unit.

Personnel

• Oral: Primary care physician, cardiologist, and pharmacist.
• Intravenous: Cardiologist, nurse, and sometimes an anesthesiologist if sedation is needed.

Risks and Complications

• Common: Dizziness, blurred vision, nausea, headache.
• Rare but serious: Worsening arrhythmias, heart block, heart failure, severe allergic reaction.

Benefits

• Restoration and maintenance of normal heart rhythm.
• Reduction in the frequency and severity of arrhythmia episodes.
• Improved overall heart function and reduction in symptoms such as palpitations and dizziness.

Recovery

• Oral: Regular monitoring through follow-up appointments; potential dose adjustments.
• Intravenous: Observation for a short period post-administration; follow-up care planning is essential.

Alternatives

• Other antiarrhythmic drugs such as amiodarone, sotalol.
• Catheter ablation for certain types of arrhythmias.
• Lifestyle changes and addressing underlying causes of arrhythmias. Pros and cons include varying efficacy, side effect profiles, and invasive nature for procedural alternatives.

Patient Experience

• Oral: Most patients tolerate the medication well; side effects should diminish over time.
• Intravenous: Possible initial discomfort with IV insertion; continuous heart monitoring may feel intrusive but is necessary for safety.
• Pain management usually involves basic analgesics if needed; comfort measures include resting and hydration.