Group 5 - Verapamil HCl

Question 1

Verapamil HCl

Drug Class?

Answer 1

Verapamil HCl Drug Class:

• Calcium channel blocker

Question 2

Verapamil HCl

Mechanism of Action (MOA)?

Answer 2

Verapamil HCl

Mechanism of Action (MOA):

• Decreases SA and AV conduction
• Dilates coronary and peripheral/arterioles

Question 3

Verapamil HCl

Indications?

Answer 3

Verapamil HCl Indications:

• Supraventricular tachycardia (SVT)
• Atrial fibrillation and atrial flutter with rapid ventricular response (RVR)

Question 4

Verapamil HCl

Contraindications?

Answer 4

Verapamil HCl Contraindications:

• AV block
• Shock
• Wide complex tachycardia
• Wolff-Parkinson-White (WPW) syndrome
• Sick sinus syndrome
• Severe CHF
• Hypotension (less than 90 mmHg systolic)

Question 5

Verapamil HCl

Adverse Reactions?

Answer 5

Verapamil HCl Adverse Reactions:

• Extreme bradycardia
• Asystole
• AV block
• Hypotension
• CHF

Question 6

Verapamil HCl

Adult Dose?

Answer 6

Verapamil HCl Adult Dose:

• 2.5 - 5 mg slow IV push over 2 - 3 minutes. May repeat in 15 - 30 minutes with a 5 - 10 mg slow IV push until a maximum dose of 30 mg

Question 7

Verapamil HCl

Pediatric Dose?

Answer 7

Verapamil HCl Pediatric Dose:

• Not used in children prehospital

Question 8

Verapamil HCl

Onset of Action?

Answer 8

Verapamil HCl Onset of Action:

• 1 - 3 minutes

Question 9

Verapamil HCl

Peak Effects?

Answer 9

Verapamil HCl Peak Effects:

• 3 - 5 minutes

Question 10

Verapamil HCl

Duration of Action?

Answer 10

Verapamil HCl Duration of Action:

• 2 - 5 hours

Question 11

Verapamil HCl

AZ Drug Box Minimum Supply?

Answer 11

Verapamil HCl

AZ Drug Box Minimum Supply:

• 10 mg