Cardizem Flashcards
0
Q
Trade Name
A
Cardizem
1
Q
Generic Name
A
diltiazem
2
Q
Class
A
calcium channel blocker, Class IV anti-dysrhythmic
3
Q
Mechanism of Action
A
Blocks calcium channels, causing vascular smooth muscle relaxation, which lowers BP, and slowed conduction through the AV Node, to slow ventricular rates
4
Q
Indications
A
- A-Fib or A-Flutter with rapid ventricular response
- Stable, narrow-complex tachycardias uncontrolled by adenosine and vagal maneuvers
5
Q
Contraindications
A
- Hypotension
- CHF
- Cardiogenic shock
- VT
- WPW syndrome
- Pt receiving IV Beta Blockers
6
Q
Adverse Reactions
A
- Bradycardia
- Heart block
- Hypotension
- Asystole
- N/V, dizziness
- Headache
7
Q
Dose -> Adult
A
0.25mg/kg, second dose 0.35mg/kg
5-15mg/hr for maintenance
8
Q
Dose -> Pediatric
A
Rarely used
9
Q
Route
A
IV/IO
10
Q
Special Considerations
A
- BP and EKG monitoring necessary
- Have calcium chloride available to reverse effects
- Can only be kept out of refrigeration for 1 month
