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texasaggie324
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Diltiazem - Drug generic name:
Diltiazem
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Diltiazem - Drug trade name:
Cardizem
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Diltiazem - Class:
Calcium channel blocker
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Diltiazem - Actions/pharmacodynamics:
- 1) Vascular dilation
- 2) Slows conduction through AV node
- 3) Slows rapid ventricular rate associated with atrial fibrilation and atrial flutter
- 4) Dilates coronary arteries
- 5) Negative inotrope
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Diltiazem - Indications:
- Rapid ventricular rates in:
- a) A-fib and a-flutter
- b) PSVT refractory to Adenosine
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Diltiazem - Contraindications:
- 1) Hypotension or cardiogenic shock
- 2) VT or wide-complex tachycardia
- 3) Wolf-Parkinson's White Syndrome
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Diltiazem - Precautions:
- 1) Can cause systemic hypotension
- 2) Calcium chloride shold be available to prevent hypotensive effects
- 3) Should be refrigerated
- 4) Avoid giving to patients receiving beta-blockers
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Diltiazem - Side effects:
- 1) Nausea and vomiting
- 2) Dizziness and headache
- 3) Bradycardia, heart blocks and asystole
- 4) Hypotension
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Diltiazem - Adult dosage:
20mg IV bolus (0.25mg/kg) over 2 minutes
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Diltiazem - Route:
IV: slow push and piggyback
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Diltiazem - How supplied:
Vials: 25mg/5mL OR 50mL/10mL
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Diltiazem - Pediatric dosage:
Not recommended
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