https://wiki.docmoates.com/index.php?action=history&feed=atom&title=Verapamil 2026-06-17T15:49:57Z Revision history for this page on the wiki MediaWiki 1.42.4 https://wiki.docmoates.com/index.php?title=Verapamil&diff=4032&oldid=prev 2026-06-17T13:37:26Z

<p>NCLEX nursing pharmacology monographs — batch import</p> <p><b>New page</b></p><div>&lt;div style=&quot;border-left:4px solid #3f6f5b;background:#f3f6f4;padding:8px 12px;margin-bottom:12px;font-size:0.95em;&quot;&gt;<br /> &#039;&#039;Nursing pharmacology study reference (NCLEX-style monograph). Numeric values are standard teaching ranges for study and &#039;&#039;&#039;must be verified against current manufacturer labeling before clinical use&#039;&#039;&#039;. This is educational content, not prescribing guidance.&#039;&#039;<br /> &lt;/div&gt;<br /> <br /> &#039;&#039;&#039;Verapamil&#039;&#039;&#039; (brand name Calan) &amp;mdash; Antihypertensive, antianginal, antiarrhythmic; Non-dihydropyridine calcium channel blocker.<br /> <br /> == Identification ==<br /> * &#039;&#039;&#039;Therapeutic class:&#039;&#039;&#039; Antihypertensive, antianginal, antiarrhythmic.<br /> * &#039;&#039;&#039;Pharmacologic class:&#039;&#039;&#039; Non-dihydropyridine calcium channel blocker.<br /> <br /> == Pharmacology ==<br /> * &#039;&#039;&#039;Mechanism of action:&#039;&#039;&#039; Strongest cardiac-selective calcium blocker; slows AV node conduction and heart rate, with vasodilation.<br /> * &#039;&#039;&#039;Onset / peak / duration:&#039;&#039;&#039; PO onset 1 to 2 hours; IV within minutes; ER lasts 24 hours.<br /> * &#039;&#039;&#039;Half-life / therapeutic level:&#039;&#039;&#039; Half-life 3 to 7 hours; no routine level.<br /> <br /> == Clinical use ==<br /> * &#039;&#039;&#039;Indications:&#039;&#039;&#039; Hypertension, angina, supraventricular arrhythmias, rate control.<br /> * &#039;&#039;&#039;Usual dose, route, frequency:&#039;&#039;&#039; 180 to 480 mg PO daily; IV for acute SVT.<br /> * &#039;&#039;&#039;Maximum dose / adjustments:&#039;&#039;&#039; Max about 480 mg/day; reduce in hepatic impairment; pronounced constipation risk in elderly.<br /> <br /> == Safety ==<br /> * &#039;&#039;&#039;Contraindications:&#039;&#039;&#039; Severe left ventricular dysfunction, heart block, sick sinus syndrome, hypotension, with IV beta blockers.<br /> * &#039;&#039;&#039;Black box warning:&#039;&#039;&#039; None.<br /> * &#039;&#039;&#039;Interactions:&#039;&#039;&#039; Beta blockers (bradycardia, block), digoxin (raises levels), statins, grapefruit (food).<br /> * &#039;&#039;&#039;Pregnancy / lactation:&#039;&#039;&#039; Use only if clearly needed.<br /> * &#039;&#039;&#039;High-alert:&#039;&#039;&#039; IV form warrants extra caution.<br /> <br /> == Adverse effects ==<br /> * &#039;&#039;&#039;Common side effects:&#039;&#039;&#039; Constipation (prominent), bradycardia, edema, dizziness.<br /> * &#039;&#039;&#039;Serious effects to report:&#039;&#039;&#039; Heart block, severe bradycardia, worsening heart failure.<br /> * &#039;&#039;&#039;Antidote / reversal:&#039;&#039;&#039; Calcium, atropine, supportive care.<br /> <br /> == Nursing process ==<br /> * &#039;&#039;&#039;Assessment before administration:&#039;&#039;&#039; Heart rate, blood pressure, ECG, bowel pattern.<br /> * &#039;&#039;&#039;Interventions during therapy:&#039;&#039;&#039; Encourage fiber and fluids for constipation; hold for bradycardia.<br /> * &#039;&#039;&#039;Monitor:&#039;&#039;&#039; Heart rate, blood pressure, ECG, bowel function.<br /> * &#039;&#039;&#039;Evaluation / expected outcome:&#039;&#039;&#039; Rate and blood pressure control.<br /> <br /> == Patient teaching ==<br /> * &#039;&#039;&#039;Patient teaching:&#039;&#039;&#039; Manage constipation with fiber and fluids.<br /> * &#039;&#039;&#039;Notify provider if:&#039;&#039;&#039; Slow heartbeat, fainting, severe constipation, shortness of breath.<br /> * &#039;&#039;&#039;Administration tips:&#039;&#039;&#039; Swallow ER whole; avoid grapefruit.<br /> <br /> [[Category:Calcium Channel Blockers]]</div>

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