How to determine the dosage of "verapamil" for children?

time:2022-12-09 09:38:24source:monlittlebaby.com author:Fever
How to determine the dosage of "verapamil" for children?

*For medical professionals to read and reference only. Verapamil is a calcium channel blocker, which can increase the blood and oxygen supply to the heart, so it can be used to prevent and relieve angina pectoris. It also dilates blood vessels and is often used to control blood pressure and treat arrhythmias. So how should it be used in pediatric patients? Let's take a look at the recommended doses at home and abroad. Uncontrolled studies of recommended doses in China suggest that the effect of intravenous verapamil in neonates is similar to that in adults, but very few neonates and infants have serious and potentially fatal hemodynamic side effects. Therefore, great care must be taken when administering to paediatric patients. The recommended domestic dosage is as follows: 0-1 years old: the initial dose is 0.1-0.2 mg/kg (usually a single dose of 0.75-2 mg), under continuous ECG monitoring, intravenous bolus injection for at least 2 minutes after dilution. If the initial response is unsatisfactory, under continuous ECG monitoring, 0.1-0.2 mg/kg (usually a single dose of 0.75-2 mg) is administered 30 minutes after the first dose. 1-15 years old: The starting dose is 0.1-0.3 mg/kg (usually a single dose of 2-5 mg), the total amount does not exceed 5 mg, and the intravenous bolus is administered for at least 2 minutes. If the initial response is unsatisfactory, give 0.1-0.3 mg/kg body weight (usually 2-5 mg in a single dose) 30 minutes after the first dose. FDA recommended dose 1. Initial dose:
  • 0-1 years old: 0.1-0.2mg/kg body weight (usually a single dose range of 0.75-2mg), should be administered intravenously for at least 2 minutes under continuous ECG monitoring;< /li>
  • 1-15 years: 0.1-0.3 mg/kg body weight (usually single dose range 2-5 mg) should be administered as an intravenous infusion over at least 2 minutes and no more than 5 mg.
2. Repeated doses:
  • 0-1 years old: under continuous ECG monitoring, if the initial response is not sufficient, give another 0.1-0.2% 30 minutes after the first dose mg/kg body weight (usually single dose range 0.75-2 mg). The optimal interval between subsequent intravenous injections should be determined on a case-by-case basis for each patient.
  • 1-15 years: If initial response is inadequate, give an additional 0.1-0.3 mg/kg body weight 30 minutes after the first dose (usually a single dose range 2-5mg), do not exceed 10mg at a time. The optimal interval between subsequent intravenous injections should be determined on a case-by-case basis for each patient.
Where can I learn more popular medicines from Corey? Pediatric medication is no trivial matter. Some medicines do not have corresponding dosage forms for children. Can children use them? Do I need to adjust the dose? Polyene phosphatamide contains benzyl alcohol, children are prohibited! The Food and Drug Administration warns infants and young children under the age of 2 to use paracetamol with caution... What other drugs are banned for children? The "Pediatric Drugs" column of the dry medicine doctor station you want is all available👇1. Scan the QR code below 2. Click "Download Now" 3. Open the Doctor Station App and click the column 4. Find "evidence-based medicine" in the clinical medication Pay attention to the column and subscribe to the column, and read the hot drug search every day! Download the Doctor Station App and subscribe anytime, anywhere~
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