Calcium Channel Blockers as a Narrow Complex Antiarrhythmic

Question 1

What is the dose of Aspirin (ASA)?

Answer 1

Adult: 160-325 mg PO (2-4 chewable children’s tablets)

Question 2

What is the dose for Nicardipine (Cardine)?

Answer 2

Adult: 5 mg/hr IV,IO. May increase 2.5 mg/hr every 15 min. for a max dose of 15 mg/hr.

Ped: 0.5 - 1 mcg/kg/min IV, IO infusion.

Question 3

What is the dose for Diltiazem (Cardizem)?

Answer 3

Adult: 20 mg IV. 10 mg in 5 min if SBP >100

Question 4

What is the dose of Verapamil (Isoptin)

Answer 4

Adult: 2.5-5.0 mg iv push over 2-3 minutes. Max dose of 20mg.

Ped: 0.1 mg/kg IV/IO slowly over 20 min. Max of 5 mg/initial dose.