Diltiazem

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Author:
texasaggie324
ID:
23997
Filename:
Diltiazem
Updated:
2010-06-18 00:20:19
Tags:
drugs drug medication medications med meds nremt paramedic medical diltiazem
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Description:
Diltiazem details
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  1. Diltiazem - Drug generic name:
    Diltiazem
  2. Diltiazem - Drug trade name:
    Cardizem
  3. Diltiazem - Class:
    Calcium channel blocker
  4. 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
  5. Diltiazem - Indications:
    • Rapid ventricular rates in:
    • a) A-fib and a-flutter
    • b) PSVT refractory to Adenosine
  6. Diltiazem - Contraindications:
    • 1) Hypotension or cardiogenic shock
    • 2) VT or wide-complex tachycardia
    • 3) Wolf-Parkinson's White Syndrome
  7. 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
  8. Diltiazem - Side effects:
    • 1) Nausea and vomiting
    • 2) Dizziness and headache
    • 3) Bradycardia, heart blocks and asystole
    • 4) Hypotension
  9. Diltiazem - Adult dosage:
    20mg IV bolus (0.25mg/kg) over 2 minutes
  10. Diltiazem - Route:
    IV: slow push and piggyback
  11. Diltiazem - How supplied:
    Vials: 25mg/5mL OR 50mL/10mL
  12. Diltiazem - Pediatric dosage:
    Not recommended

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