Dilitazem Cardizem

Card Set Information

Dilitazem Cardizem
2011-11-06 13:54:23

pharm drugs
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  1. Dilitazem Cardizem Class
    Calcium Channel Blocker, Antidysrhythmic
  2. Dilitazem Cardizem Action
    • 1. Inhibits calcium movement across cell membrane of cardiac and smooth muscle.
    • 2. causes vasodilation, decreases heart rate and contractility, slow SA and AV conduction
  3. Dilitazem Cardizem Use
    A-fib, A-flutter, Multifocal atrial tachycardia, PSVT
  4. Dilitazem Cardizem Contrainsications
    Sick sinus syndrome, Second or third degree heart block. WPW or other pre excitation syndrome. VT or wide complex tach or unknow origin. severe hypotension. hypersensitivity to diltiazem. concomitant use of IV beta blockers
  5. Dilitazem Cardizem Side Effects
    A-flutter, first or second degree heart av blocks, bradycardia, chest pain, CHF, syncope,, ventricular dysrhthmias, sweating, n/v, dizziness, dry mouth, dyspnea, headache
  6. Dilitazem Cardizem Special Notes
    • 1. use with caution in pt. with impaired renal or hepatic function.
    • 2. hypotension may occasionally result.
    • 3. PVC's may be present on conversion of PSVT to sinus rhythm.
    • 4. Self life at room temp is on month.
  7. Dilitazem Cardizem preparations
    • 25mg (5ml vial)
    • 50mg (10ml vial)
  8. Dilitazem Cardizem Adult dose
    • Bolus:
    • 0.25mg/kg (20mg for the average pt.) IV over 2 minutes. May be repeated in 15 min (0.35mg/kg; 25mg for the av. pt) IV over 2 min
    • Maintenance:
    • Dilute 125mg (25ml) in 100ml of solution; infuse 5-15mg/hr titrate to heart rate.
  9. Dilitazem Cardizem pedi dose
    not reccomended
  10. Dilitazem Cardizem route
    IV, IO