diltiazam Flashcards
Diltiazem
Name
Cardizem
Diltiazem
Class
Calcium Channel Blocker
Diltiazem
Description
Diltiazem is a slow calcium channel blocker similar to verapamil. It dilates coronary peripheral arteries and arterioles, thus increasing circulation to the heart and reducing peripheral vascular resistance
Diltiazem
Indications
Supraventricular tachydysrhythmias (atrial fibriliation, atrial flutter, and PSVT refractory to adenosine) and to increase coronary artery perfursion in angina
Diltiazem
Contraindications
hypersensitivity, sick sinus syndrome, 2nd or 3rd degree heart block, systolic BP
Diltiazem
Precautions
CHF (especially with beta blockers), conduction abnormalities
Diltiazem
Dosage/route
0.25 mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5-10 mg/hr not to exceed 15mg/hr over 24 hours
Pedi: not used