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CLASS :
Calcium channel blocker
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ACTIONS :
- Verapamil has a negative inotropic effect, and therefore causes perihperal and vasodilation
- decreases the demand for myocardial oxygen
- slows AV conduction and prevents reenrty during PSVT.
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INDICATIONS :
PSVT resistant to Adenosine
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CONTRAINDICATIONS :
- hypotension
- cardiogenic shock
- hypovalemic shock
- Wolff-Parkinson-White syndrome
- v-tach
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PRECAUTIONS :
- Patients should be supine when being administered Verapamil due to the
- potential for postural hypotension
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SIDE EFFECTS :
- nausea
- vomiting
- bradycardia
- heart block
- dizziness
- headache
- asystole
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DOSAGE :
ROUTES :
- 2.5 - 5 mg every 2-3 min, 5-10 mg can be given after 15-30 min if PSVT
- continues, with a max. dose of 30mg/kg in30 min.
IV
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