verapamil.txt

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Author:
papeirce
ID:
88555
Filename:
verapamil.txt
Updated:
2011-05-31 11:21:45
Tags:
paramedic medications drugs prehospital verapamil calan isoptin
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Verapamil HCL

    Trade Name
    • Calan
    • Isoptin
  2. Verapamil HCL

    Class
    Antiarrhythmic
  3. Verapamil HCL

    Mechanism of Action
    • Calcium channel blocker in heart and vascular smooth muscle
    • Blocks movement of Ca+ions across cell membranes
    • Negatively dromotropic
    • Prevent/terminates reentry
    • Decreases automaticity
    • Dilates coronary arteries
    • Inhibits coronary artery vasospasm
    • Decreases afterload
    • Decreases O2 requirements
  4. Verapamil HCL

    Indications
    • Stable SVT
    • Decreases ventricular rate in afib/aflutter = controls rate only
  5. Verapamil HCL

    Contraindications
    • VTach/wide complex tachycardias
    • WPW
    • Bradycardia/Advanced AV blocks
    • Hypersensitivity
    • CHF
    • Hypotension
  6. Verapamil HCL

    Adverse Reactions
    • Hypotension
    • Bradycardia
    • Dizziness
    • Headache
    • AV Blocks
    • OD: Calcium
  7. Verapamil HCL

    Drug Interactions
    Beta blockers increase effects of verapamil
  8. Verapamil HCL

    How Supplied
    2.5 mg/ml in 2, 4, 5 mls
  9. Verapamil HCL

    Dosage and Administration
    Adult
    • 2.5 -5 mg IV SLOWLY
    • Repeat 5 -10 mg in 15-30 minutes to max of 20 mg
  10. Verapamil HCL

    Dosage and Administration
    Pediatric
    0.1 -0.3 mg/kg
  11. Verapamil HCL

    Duration of Action
    Onset: 5-10 minutes
  12. Verapamil HCL

    Special Considerations
    (None listed)

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