Effects of Intravenous Injection of Penicillin G Potassium and Penicillin G Sodium on Serum Electrolyte and Electrocardiogram in Dogs
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This study was performed to assess the effect of an intravenous injection of large doses of penicillin G salt form on serum electrolyte and electrocardiogram in dogs.<BR>Eighteen beagle dogs (age: 8-22 months, body weight: 7-10.5 kg) were given intravenously 3.5×10<SUP>5</SUP> I. U./kg and 7×10<SUP>5</SUP> I. U./kg of penicillin G potassium or penicillin G sodium. The injection volume was 2.4 ml/kg body weight and the injection speed was 4-5 ml/min.<BR>During the intravenous injection of 7×10<SUP>5</SUP> I. U./1. 2 mEq (equivalent to K<SUP>+</SUP>+)/kg of penicillin G potassium, vomiting and convulsion were observed, and an elevation of T waves, a prolongation of QRS complex and a depression of ST segment were noted on the electrocardiogram. The injection was obliged to be stopped in 2 out of 4 dogs, since these 2 dogs showed the disappearance of P wave 3-4 min after the onset of injection.<BR>On the other hand, during the intravenous injection of 7×10<SUP>5</SUP> I. U./1.2 mEq (equivalent to Na<SUP>+</SUP>+)/kg of penicillin G sodium, vomiting only was observed, and changes in ECG were smaller as compared with those induced by penicillin G potassium.<BR>Changes in serum K<SUP>+</SUP> and Na<SUP>+</SUP>+ concentration after injection of penicillin G potassium or penicillin G sodium remained within the normal range.<BR>The changes during and after the intravenous administration of penicillin G potassium and penicillin G sodium were very similar qualitatively and quantitatively to those induced by the equivalent dosing of KCl and NaCl.<BR>From the foregoing results it is concluded that the cardiac effects of penicillin G potassium or sodium are mainly due to those K<SUP>+</SUP> or Na<SUP>+</SUP> contained in them, and that penicillin G sodium is safer in clinical use than penicillin G potassium.
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