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Verapamil

This document summarizes information about the drug verapamil, including its indications, mechanism of action, adverse effects, contraindications, cautions, and nursing considerations. Verapamil is indicated for conditions like angina and arrhythmias. It works by inhibiting calcium ion influx, decreasing contractility and oxygen demand. Common adverse effects include dizziness, hypotension, and constipation. It is contraindicated in certain patients with heart block or failure. Nurses should monitor blood pressure, ECG, and signs of heart failure when a patient is taking verapamil.

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620 views1 page

Verapamil

This document summarizes information about the drug verapamil, including its indications, mechanism of action, adverse effects, contraindications, cautions, and nursing considerations. Verapamil is indicated for conditions like angina and arrhythmias. It works by inhibiting calcium ion influx, decreasing contractility and oxygen demand. Common adverse effects include dizziness, hypotension, and constipation. It is contraindicated in certain patients with heart block or failure. Nurses should monitor blood pressure, ECG, and signs of heart failure when a patient is taking verapamil.

Uploaded by

202110439
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

MECHANISM OF CONTRAINDICATION &

DRUG INDICATION ADVERSE EFFECTS NURSING CONSIDERATIONS


ACTION CAUTIONS

Generic: • Verapamil is Chemical effect: CNS: dizziness, headache, • Contraindicated in patients • Monitor BP and pulse before therapy, during
verapamil indicated for Inhibits calcium ion asthenia hypersensitive to the drug or dosage titration, and periodically throughout
vasospastic angina; influx across cardiac CV: transient hypotension, any of its components, and in therapy. Monitor ECG periodically during
Brand Name: classic chronic, stable and smooth muscle heart failure, bradycardia, AV those with severe left prolonged therapy.
Anpec angina pectoris; cells, thus decreasing block, ventricular asystole, ventricular dysfunction; Verapamil may cause prolonged PR interval.
Calan unstable angina; myocardial contractility ventricular fibrillation, cardiogenic shock; second- or • Give drug with food, but keep in mind that
Novo-Veramil chronic atrial and oxygen demand. peripheral edema third-degree AV block or sick giving extended-release tablets with food may
Verelan fibrillation. Drug also dilates GI: constipation, nausea sinus syndrome, except in decrease rate and extent of absorption.
• Supraventricular coronary arteries and Respiratory: pulmonary presence of functioning • Monitor intake and output ratios and daily
Dosage, Route, and arrhythmias arterioles. edema pacemaker; atrial flutter or weight. Assess for signs of CHF (peripheral
Frequency: • Prevention of Skin: rash fibrillation and accessory edema, rales/crackles, dyspnea, weight gain,
recurrent PSVT Therapeutic effect: bypass tract syndrome; jugular venous distention)
• To control ventricular relieves angina, lowers severe heart failure (unless • Monitor renal and hepatic functions
Classification: rate in digitalized blood pressure, and secondary to verapamil periodically during long-term therapy. May
Pharmacologic Class: patients with chronic restores normal sinus therapy); or severe cause increase hepatic enzymes after several
calcium channel atrial flutter or atrial rhythm. hypotension. days of therapy, which return to normal on
blocker fibrillation. • IV verapamil is discontinuation of therapy.
• Hypertension contraindicated in patients • Encourage patient to increase fluid and fiber
Therapeutic class: with ventricular tachycardia intake to combat constipation.
antianginal, and in those receiving I.V.
antihypertensive, beta blockers.
antiarrhythmic • Use cautiously in patients
with increased intracranial
pressure or hepatic or renal
disease.

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