Verapamil

Card Set Information

Author:
Ritameeker
ID:
206877
Filename:
Verapamil
Updated:
2013-03-12 19:06:16
Tags:
Isoptin Calon paramedic study Verapamil
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Description:
Verapamil / Isoptin / Calon
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  1. Verapamil

    Names / Class
    • Isoptin
    • Calon

    Calcium Channel Blocker
  2. Verapamil

    Mechanism of Action
    • Slows conduction through the AV node by relaxing smooth muscle.
    • Inhibits reentry during PSVT (paroxysmol supraventricular response)
    • Decreases myocardial oxygen demand.
  3. Verapamil

    Onset of Action
    Peak Effect
    Duration
    Half-Life
    • 5 minutes
    • 5 - 15 minutes
    • 10 - 60 minutes
    • 2 - 8 hours
  4. Verapamil

    Indications
    • Narrow-complex tachycardias including:
    • Stable narrow-complex tachycardias if rhythm remains uncontrolled or unconverted by Adenosine or vagal maneuvers; or if SVT is recurrent.
    • To control ventricular rate with A-Fib or A-Flutter.
  5. Verapamil

    Contraindications
    • Heart block
    • Conduction system disturbances
    • Severe hypotension
    • Cardiogenic shock
    • Wolff-Parkinson-White Syndrome
    • Pt on IV beta blockers
  6. Verapamil

    Precautions / Side Effects
    • Monitor BP
    • Nausea
    • Vomiting
    • Hypotension
    • Dizzyness
    • HA
    • Bradycardia
    • Asystole
  7. Verapamil

    Adult Dose
    2.5 - 5 mg IV or IO over 2 minutes.

    Repeat dose of 5 - 10 mg IV or IO over 2 minutes; in 15 - 30 minutes if needed.
  8. Verapamil

    Pedi Dose
    0 - 1 year: 0.1 - 0.2 mg/kg (max 2.0 mg) administered slowly.

    1 - 15 years: 0.1 - 0.3 mg/kg (max 5.0 mg) administered slowly.
  9. Verapamil

    Max Dose
    30 mg in 30 minutes
  10. Verapamil

    Routes / How Supplied
    IO or IO

    Unknown (vial?)

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