Diltiazem Hydrochloride(Cardizem Lyo-Ject) Final Review

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Author:
Lhernandez
ID:
299704
Filename:
Diltiazem Hydrochloride(Cardizem Lyo-Ject) Final Review
Updated:
2015-04-01 19:42:30
Tags:
LVAPEC
Folders:
Drug Profiles,Final Review
Description:
Cardizem
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  1. Diltiazem Hydrochloride(Cardizem, Lyo-Ject) Class
    Calcium channel blocker
  2. Diltiazem Hydrochloride(Cardizem, Lyo-Ject) MOA
    • Block influx of calcium ions into cardiac muscle
    • Prevents spasm of coronary arteries
    • Arterial/Venous vasodilator
    • Reduces preload and afterload
    • Reduces mycocardial O2 demand
  3. Diltiazem Hydrochloride(Cardizem, Lyo-Ject) Indication
    • Control of rapid ventricular rates due to A-fib/flutter and re-entry SVT
    • Angina
  4. Diltiazem Hydrochloride(Cardizem, Lyo-Ject) Contraindications
    • Hypotension
    • Sick sinus syndrome
    • 2nd/3rd degree AV blocks
    • Cardiogenic shock
    • Wide complex tach
    • Poison/drug induces tach
  5. Diltiazem Hydrochloride(Cardizem, Lyo-Ject) Adverse
    • Brady
    • 2nd/3rd degree AV block
    • C/P
    • CHF
    • Syncope
    • V-Fib/Tach
    • Nausea
    • Vomiting
    • Dizzy
    • Dry mouth
    • Dyspnea
    • Headache
  6. Diltiazem Hydrochloride(Cardizem, Lyo-Ject) Dosage
    • Adult:
    • Initial bolus - 0.25mg/kg IV over 2minsĀ 
    • Inadequate response may repeat bolus in 15mins - 0.35mg/kg IV
    • Maintenance infusion 5-15mg/hr

    Peds: Not recommended

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