Verapamil

• Isoptin
• Calon

Calcium Channel Blocker

• Slows conduction through the AV node by relaxing smooth muscle.
• Inhibits reentry during PSVT (paroxysmol supraventricular response)
• Decreases myocardial oxygen demand.

• 5 minutes
• 5 - 15 minutes
• 10 - 60 minutes
• 2 - 8 hours

• Narrow-complex tachycardias including:
• Stable narrow-complex tachycardias if rhythm remains uncontrolled or unconverted by Adenosine or vagal maneuvers; or if SVT is recurrent.
• To control ventricular rate with A-Fib or A-Flutter.

• Heart block
• Conduction system disturbances
• Severe hypotension
• Cardiogenic shock
• Wolff-Parkinson-White Syndrome
• Pt on IV beta blockers

• Monitor BP
• Nausea
• Vomiting
• Hypotension
• Dizzyness
• HA
• Bradycardia
• Asystole

2.5 - 5 mg IV or IO over 2 minutes.

Repeat dose of 5 - 10 mg IV or IO over 2 minutes; in 15 - 30 minutes if needed.

0 - 1 year: 0.1 - 0.2 mg/kg (max 2.0 mg) administered slowly.

1 - 15 years: 0.1 - 0.3 mg/kg (max 5.0 mg) administered slowly.

30 mg in 30 minutes

IO or IO

Unknown (vial?)