Calcium Channel Blocker

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Author:
medic11student
ID:
21720
Filename:
Calcium Channel Blocker
Updated:
2010-06-02 12:27:37
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Medic Drugs
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Description:
JHPC Medic 11
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  1. DILTIAZEM (CARDIZEM) / CALCIUM CHANNEL BLOCKER
    • - Diltiazem is a slow calcium channel blocker similiar to verapamil.
    • - Dilates coronary and peripheral arteries and arterioles, thus increasing circulation to the heart and reducing peripheral vascular resistance
  2. DILTIAZEM (CARDIZEM) / CALCIUM CHANNEL BLOCKER Indications
    • 1. Supraventricular tachydysrhythmias (AFIB, Atrial Flutter, PSVT refractory to adenosine)
    • 2. Increase coronary artery perfusion in angina
  3. DILTIAZEM (CARDIZEM) / CALCIUM CHANNEL BLOCKER Contraindications
    • 1. Hypersensitivity
    • 2. Sick Sinus Syndrome
    • 3. 2nd or 3rd degree heart block
    • 4. Systolic BP <90
    • 5. Diastolic BP <60
    • 6. Wide complex tachycardia
    • 7. WPW
  4. DILTIAZEM (CARDIZEM) / CALCIUM CHANNEL BLOCKER Precautions
    • 1. CHF
    • 2. Conduction
  5. DILTIAZEM (CARDIZEM) / CALCIUM CHANNEL BLOCKER Dosage/Route
    0.25mg/kg IV over 2min, may repeat as needed with 0.35mg/kg followed by a drop of 5-10mg/hr. Not to exceed 15mg/hr over 24hrs
  6. VERAPAMIL (ISOPTIN, CALAN) / CALCIUM CHANNEL BLOCKER
    • Verapamil is a calcium channel blocker that slows AV conduction, suppresses reentry dysrhythmias such as PSVT, and slows ventricular responses to atrial tachydysrhythmias.
    • - Also dilates coronary arteries and reduces myocardial oxygen demand
  7. VERAPAMIL (ISOPTIN, CALAN) / CALCIUM CHANNEL BLOCKER Indications
    • 1. PSVT refractory to adenosine
    • 2. Atrial Flutter
    • 3. Atrial Fibrillation with rapid ventricular response
  8. VERAPAMIL (ISOPTIN, CALAN) / CALCIUM CHANNEL BLOCKER Contraindications
    • 1. Severe hypotension
    • 2. Cardiogenic shock
    • 3. 2nd or 3rd degree heart block
    • 4. CHF
    • 5. Sinus Node Disease
    • 6. Accessory AV pathways
    • 7. WPW syndrome
    • 8. Should not be given to pts taking beta blockers
  9. VERAPAMIL (ISOPTIN, CALAN) / CALCIUM CHANNEL BLOCKER Dosage/Route
    2.5 - 5mg IV bolus over 2-3min, then 5 - 10mg after 15-30min to a max of 30mg in 30 min

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