University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2022
Views:

20

Pages:

2
Author:

Alma Stephenson

VECURONIUM VERAPAMIL Name/Class: VECURONIUM (Norcuron)/Nondepolarizing Skeletal Muscle Relaxant Description: Vecuronium is a nondepolarizing skeletal muscle relaxant similar to pancuronium with minimal cardiovascular effects. Indications: Facilitated endotracheal intubation. Contraindications: Hypersensitivity. Precautions: Hepatic or renal impairment, impaired fluid and electrolyte or acid/base balance, severe obesity, myasthenia gravis, elderly, debilitated patients, or malignant hyperthermia. Dosage/Route: 0.08 to 0.1 mg/kg IV. Ped: same as adult. Name/Class: VERAPAMIL (Isoptin, Calan)/Calcium Channel Blocker Description: Verapamil is a calcium channel blocker that slows AV conduction, suppresses reentry dysrhythmias such as PSVT, and slows ventricular responses to atrial tachydysrhythmias. Verapamil also dilates coronary arteries and reduces myocardial oxygen demand. Indications: PSVT refractory to adenosine, atrial flutter, and atrial fibrillation with rapid ventricular response. Contraindications: Severe hypotension, cardiogenic shock, 2nd- or 3rd-degree heart block, CHF, sinus node disease, and accessory AV pathways, WPW syndrome. It should not be administered to persons taking beta blockers. Precautions: Hepatic and renal impairment, MI with coronary artery occlusion, or myocardial stenosis. Dosage/Route: 2.5 to 5 mg IV bolus over 2 to 3 min, then 5 to 10 mg after 15 to 30 min to a max of 30 mg in 30 min. Ped: newborn—0.1 to 0.2 mg/kg (not to exceed 2 mg), age 1 to 15—0.1 to 0.3 mg/kg (not to exceed 5 mg).