Diltiazem Flashcards
1
Q
Diltiazem Trade Name?
A
Cardizem
2
Q
Diltiazem Classification?
A
Class IV Antidysrhythmic; Calcium Channel Blocker
3
Q
Diltiazem Mechanism?
A
Inhibits extracellular calcium ion influx across membranes of myocardial cells and vascular smooth muscle cells with substantial inhibitory effects on cardiac conduction system, acting principally at AV node, with some effects at sinus node
4
Q
Diltiazem Indications?
A
- Atrial fibrillation and atrial flutter with rapid ventricular response
- SVT refractory to adenosine
5
Q
Diltiazem Contraindications?
A
- Heart Blocks
- Hypotension
- Decompensated Cardiogenic Shock
- Ventricular Tachycardia
- WPW Syndrome
6
Q
Diltiazem Side Effects/Precautions?
A
- Syncope
- Nausea/Vomiting
- AV blocks
- Bradycardia
- Hypotension
- Chest pain
- VF/VT
- CHF
7
Q
Diltiazem Adult Dose?
A
- 10mg IV/IO over 2 min repeat every 10 min.
- Maintenance infusion: 5-15 mg/hr titrated to heart rate
8
Q
Diltiazem Pediatric Dose?
A
Not Recommended
9
Q
Diltiazem Onset of Action?
A
2-5 Minutes
10
Q
Diltiazem Duration of Action?
A
1-3 Hours
11
Q
Diltiazem Max Dose Adult/Pediatric?
A
20 mg/dose. N/A for Peds
12
Q
Diltiazem Routes of Administration?
A
IV/IO
13
Q
Diltiazem How Supplied?
A
25mg/5ml vials
