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INDICATION
ACTION
CONTRAINDICA TION
NURSING CONSIDERATIO N
Blocks sodium channels at rapid pacing frequencie s, prolongin g myocardia l cell action potential and refractory period
PRECAU TION: Goiter, CHF, respirato ry disease ADVERS E RXN Bradycar dia, heart block, sinus arrest, flushing, fatigue, insomnia , headach e
>assess cardiovascula r status before therapy > loading dose with food to decrease nausea >instruct pt. that skin discoloration is reversible >advice pt. to wear sunglasses for photophobia, protective clothing to prevent burning