Isoptin (Verapamil) Drug Information Quiz

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Questions and Answers

What is the classification of Isoptin (Verapamil)?

  • Anticoagulant
  • Antiarrhythmic
  • Diuretic
  • Calcium Channel Blocker (correct)

What is the primary indication for using Isoptin (Verapamil)?

  • Ventricular Tachycardia
  • Hypertension
  • Narrow Complex Tachycardia not responsive to Adenosine (correct)
  • Atrial Fibrillation

What is the recommended adult dosage for Isoptin (Verapamil) IV administration?

  • 10 - 20 mg IVP slow over 2 minutes (3 minutes in older patients), repeat 15 - 30 mg slow every 15 to 30 minutes, max dose 60 mg
  • 5 - 10 mg IVP slow over 2 minutes (3 minutes in older patients), repeat 10 - 20 mg slow every 15 to 30 minutes, max dose 40 mg
  • There is no recommended adult dosage for Isoptin (Verapamil) IV administration
  • 2.5 - 5 mg IVP slow over 2 minutes (3 minutes in older patients), repeat 5 - 10 mg slow every 15 to 30 minutes, max dose 20 mg (correct)

Which of the following is a contraindication for the use of Isoptin (Verapamil)?

<p>Wolff-Parkinson-White or Lown-Ganong-Levine syndromes (B)</p> Signup and view all the answers

What is the primary mechanism of action of Isoptin (Verapamil)?

<p>Blocks the slow calcium channels which affect the SA/AV node, decreasing atrial automaticity (D)</p> Signup and view all the answers

Which of the following is a potential adverse reaction associated with the use of Isoptin (Verapamil)?

<p>Congestive heart failure (B)</p> Signup and view all the answers

What is the maximum recommended total dose of Isoptin (Verapamil) that can be administered intravenously?

<p>20 mg (D)</p> Signup and view all the answers

How does Isoptin (Verapamil) affect the SA and AV nodes?

<p>It depresses their function (B)</p> Signup and view all the answers

Which of the following is a contraindication for the use of Isoptin (Verapamil)?

<p>Wolff-Parkinson-White syndrome (A)</p> Signup and view all the answers

Which of the following is Isoptin (Verapamil) primarily used to control?

<p>Atrial fibrillation (C)</p> Signup and view all the answers

What condition may be exacerbated by Isoptin (Verapamil) in patients with severe Left Ventricular Dysfunction?

<p>Congestive Heart Failure (D)</p> Signup and view all the answers

Which syndrome is a contraindication for the use of Isoptin (Verapamil) due to speeding up accessory pathway conduction?

<p>Wolff-Parkinson-White (B)</p> Signup and view all the answers

In which type of heart block is Isoptin (Verapamil) contraindicated?

<p>Second-degree heart block (B)</p> Signup and view all the answers

How does Isoptin (Verapamil) affect atrial automaticity?

<p>Decreases it (B)</p> Signup and view all the answers

What is the primary indication for using Isoptin (Verapamil)?

<p>Atrial Fibrillation (C)</p> Signup and view all the answers

Which syndrome is a contraindication for the use of Isoptin (Verapamil) due to speeding up accessory pathway conduction?

<p>Wolff-Parkinson-White syndrome (C)</p> Signup and view all the answers

How does Isoptin (Verapamil) affect atrial automaticity?

<p>Decreases it (A)</p> Signup and view all the answers

Which of the following is a potential adverse reaction associated with the use of Isoptin (Verapamil)?

<p>Heart Failure (D)</p> Signup and view all the answers

Which of the following arrhythmias may benefit from Isoptin (Verapamil) administration?

<p>Atrial fibrillation or atrial flutter (B)</p> Signup and view all the answers

What is the recommended intravenous dosing interval for Isoptin (Verapamil) in adults?

<p>Every 15-30 minutes (C)</p> Signup and view all the answers

Which of the following conditions is a contraindication for the use of Isoptin (Verapamil)?

<p>Wolff-Parkinson-White syndrome (B)</p> Signup and view all the answers

Which of the following is a potential adverse reaction associated with Isoptin (Verapamil) administration?

<p>Severe bradycardia (B)</p> Signup and view all the answers

How does Isoptin (Verapamil) exert its effects on cardiac conduction?

<p>By blocking slow calcium channels (B)</p> Signup and view all the answers

What is the primary action mechanism of Isoptin (Verapamil)?

<p>Slows conduction through the AV node pathway (B)</p> Signup and view all the answers

Which of the following is a contraindication for the use of Isoptin (Verapamil)?

<p>Sick sinus syndrome (A)</p> Signup and view all the answers

What is one of the possible adverse reactions associated with Isoptin (Verapamil)?

<p>AV block (B)</p> Signup and view all the answers

In which of the following patients may Isoptin (Verapamil) exacerbate Congestive Heart Failure?

<p>Patients with Left Ventricular Dysfunction (B)</p> Signup and view all the answers

What is the recommended dosing interval for repeat IV administration of Isoptin (Verapamil) in adults?

<p>Every 30 minutes (B)</p> Signup and view all the answers

What is the recommended dosing interval for repeat IV administration of Isoptin (Verapamil) in adults?

<p>Every 30 minutes (C)</p> Signup and view all the answers

Which cardiac syndromes are contraindications for the use of Isoptin (Verapamil) due to speeding up accessory pathway conduction?

<p>Wolff-Parkinson-White Syndrome (C)</p> Signup and view all the answers

What effect does Isoptin (Verapamil) have on the SA and AV nodes?

<p>Slows down conduction through them (C)</p> Signup and view all the answers

Which condition may be exacerbated by Isoptin (Verapamil) in patients with severe Left Ventricular Dysfunction?

<p>Congestive Heart Failure (B)</p> Signup and view all the answers

What are the potential adverse reactions associated with Isoptin (Verapamil) administration?

<p>Hypotension, Heart Block, Bradycardia (B)</p> Signup and view all the answers

What is the primary mechanism by which Isoptin (Verapamil) exerts its effects?

<p>It blocks the slow calcium channels in the SA/AV nodes (B)</p> Signup and view all the answers

Which of the following arrhythmias is not an indication for Isoptin (Verapamil)?

<p>Wide complex tachycardia of unknown type (B)</p> Signup and view all the answers

What is the maximum recommended total intravenous dose of Isoptin (Verapamil) in adults?

<p>20 mg (A)</p> Signup and view all the answers

Which of the following patient populations should be monitored closely when administering Isoptin (Verapamil)?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended initial intravenous dose of Isoptin (Verapamil) in adults?

<p>2.5 mg over 2 minutes (D)</p> Signup and view all the answers

Which of the following best describes the mechanism of action of Isoptin (Verapamil)?

<p>It blocks the slow calcium channels, affecting SA and AV node conduction (D)</p> Signup and view all the answers

Which of the following arrhythmias is not an indication for Isoptin (Verapamil)?

<p>Ventricular tachycardia (C)</p> Signup and view all the answers

Which of the following syndromes is a contraindication for Isoptin (Verapamil) due to the risk of speeding up accessory pathway conduction?

<p>Wolff-Parkinson-White syndrome (A)</p> Signup and view all the answers

What is the maximum recommended total intravenous dose of Isoptin (Verapamil) in adults?

<p>20 mg (A)</p> Signup and view all the answers

Which of the following adverse reactions is associated with Isoptin (Verapamil) administration?

<p>Severe hypotension (D)</p> Signup and view all the answers

Which of the following is a contraindication for the use of Isoptin (Verapamil)?

<p>Wolff-Parkinson-White syndrome (D)</p> Signup and view all the answers

What is the primary indication for using Isoptin (Verapamil)?

<p>Narrow complex tachycardia not responsive to adenosine (D)</p> Signup and view all the answers

How does Isoptin (Verapamil) affect atrial automaticity?

<p>Decreases atrial automaticity (C)</p> Signup and view all the answers

In which of the following patients may Isoptin (Verapamil) exacerbate Congestive Heart Failure?

<p>Patients with severe left ventricular dysfunction (A)</p> Signup and view all the answers

What is the maximum recommended total intravenous dose of Isoptin (Verapamil) in adults?

<p>20 mg (B)</p> Signup and view all the answers

What is the primary indication for using Isoptin (Verapamil)?

<p>Narrow complex tachycardia not responsive to Adenosine (A)</p> Signup and view all the answers

In which type of heart block is Isoptin (Verapamil) contraindicated?

<p>Third-degree heart block without a pacemaker (A)</p> Signup and view all the answers

Which syndrome is a contraindication for the use of Isoptin (Verapamil) due to the risk of speeding up accessory pathway conduction?

<p>Both Wolff-Parkinson-White and Lown-Ganong-Levine syndromes (C)</p> Signup and view all the answers

What condition may be exacerbated by Isoptin (Verapamil) in patients with severe Left Ventricular Dysfunction?

<p>Congestive Heart Failure (B)</p> Signup and view all the answers

Which of the following is a potential adverse reaction associated with Isoptin (Verapamil) administration?

<p>Severe hypotension (B)</p> Signup and view all the answers

Which type of tachycardia is Isoptin (Verapamil) primarily used to control?

<p>Narrow complex tachycardia (A)</p> Signup and view all the answers

What is the primary mechanism of action of Isoptin (Verapamil)?

<p>Slows conduction through the AV node pathway (A)</p> Signup and view all the answers

Which of the following cardiac syndromes is a contraindication for the use of Isoptin (Verapamil)?

<p>Wolff-Parkinson-White syndrome (B)</p> Signup and view all the answers

Which adverse reaction is associated with Isoptin (Verapamil) administration?

<p>Severe hypotension (C)</p> Signup and view all the answers

In which patients may Isoptin (Verapamil) exacerbate Congestive Heart Failure (CHF)?

<p>Patients with severe left ventricular dysfunction (C)</p> Signup and view all the answers

What is the primary classification of Isoptin (Verapamil)?

<p>Calcium Channel Blocker (D)</p> Signup and view all the answers

Which type of tachycardia is Isoptin (Verapamil) primarily used to control?

<p>Narrow Complex Tachycardia (A)</p> Signup and view all the answers

Which of the following is a contraindication for the use of Isoptin (Verapamil)?

<p>Sick Sinus Syndrome (D)</p> Signup and view all the answers

How does Isoptin (Verapamil) affect the SA and AV nodes?

<p>It depresses the SA and AV nodes (B)</p> Signup and view all the answers

What condition may be exacerbated by Isoptin (Verapamil) in patients with severe Left Ventricular Dysfunction?

<p>Congestive Heart Failure (D)</p> Signup and view all the answers

Which of the following is the recommended initial intravenous dose of Isoptin (Verapamil) for adults?

<p>$2.5 - 5\ \text{mg}$ IVP over 2 minutes (D)</p> Signup and view all the answers

Which of the following arrhythmias is not an indication for Isoptin (Verapamil)?

<p>Wide complex tachycardia of unknown type (A)</p> Signup and view all the answers

Which syndrome is a contraindication for Isoptin (Verapamil) due to the risk of speeding up accessory pathway conduction?

<p>Wolff-Parkinson-White syndrome (C)</p> Signup and view all the answers

What is the primary mechanism of action of Isoptin (Verapamil)?

<p>Blocks slow calcium channels affecting SA/AV nodes (A)</p> Signup and view all the answers

Which of the following is a potential adverse reaction associated with Isoptin (Verapamil) administration?

<p>Severe hypotension (D)</p> Signup and view all the answers

What is a potential adverse reaction associated with Isoptin (Verapamil) administration?

<p>Severe hypotension (D)</p> Signup and view all the answers

Which syndrome is considered a contraindication for using Isoptin (Verapamil) due to the risk of speeding up accessory pathway conduction?

<p>Wolff-Parkinson-White Syndrome (B)</p> Signup and view all the answers

Which action mechanism is attributed to Isoptin (Verapamil)?

<p>Blocks slow calcium channels at the SA/AV node (B)</p> Signup and view all the answers

In which type of heart block is the use of Isoptin (Verapamil) contraindicated?

<p>Third-degree heart block (B)</p> Signup and view all the answers

What cardiac condition may be exacerbated by Isoptin (Verapamil) in patients with severe Left Ventricular Dysfunction?

<p>Congestive Heart Failure (D)</p> Signup and view all the answers

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