Verapamil (Calan) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     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