Verapamil (Calan) Nursing Considerations

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Outline

Generic Name

verapamil

Trade Name

Isoptin

Indication

hypertension, angina, SVT, migraine

Action

prevents transport of calcium, leading to decreased contraction, decreases SA and AV node conduction

Therapeutic Class

antianginals, antiarrhythmic, antihypertensive, vascular headache suppressants

Pharmacologic Class

Ca Channel Blocker

Nursing Considerations

• don’t use with 2nd and 3rd degree heartblock
• don’t use with systolic BP < 90
• may cause anxiety, confusion, cough, dyspnea, arrhythmias, CHF, bradycardia, hypotension,
elevated liver enzymes, Steven’s Johnson syndrome, hyperglycemia, gingival hyperplasia
• grapefruit juice can increase effects
• can increase levels of digoxin
• monitor heart rhythm, intake and output, blood pressure
• assess angina

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Transcript

Okay guys, let’s take a look at the drug of Vara mill. Also known as call or ISIN. This is an oral and IV medication here. You can see it in its oral form. Vrap Mill’s therapeutic class is an antianginal antirrhythmic anti-hypertensive agent, and also a vascular headache suppressant. The pharmacologic class or chemical effect of a Rappa mill is a calcium channel blocker. The Rappa mill prevents the transport of calcium, which lead leads to decreased contraction, which decreases SA and AV node conduction. We use vrap mill for hypertension, angina, SVT, and also for migraines vrap mill can cause anxiety, confusion, cough, and dyspnea, or difficulty breathing, a few nursing considerations for Veril be sure to assess your patients angina for optimal may cause arrhythmia CHF, bradycardia, hypertension, elevated liver enzymes, hyper glycemia in gingival hyperplasia, or that overgrowth of the gums for ail can increase levels of dein in the patient, monitor your patient’s heart rhythm and take an output and blood pressure. Be sure to teach the patient that grapefruit can increase the effects of Rappa mill guys don’t use vrap milk. If your patient has a systolic blood pressure of less than 90, or if they have a second or third degree, heart block, and guys brail can worsen heart failure. 

That’s it for vrap mill or call or I so in now go out and be your best self today and as always happy nursing.

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