Diltiazem

Question 1

Indications - diltiazem

Answer 1

Stable atrial fibrillation / atrial flutter

Question 2

Dose - Diltiazem

Answer 2

0.25 mg/kg IV/IO to a single maximum dose of 20mg. Administer over 2min undiluted or in 5-10mL normal saline.
Do not repeat dose
Consult TP prior

Question 3

Contraindications - diltiazem

Answer 3

• Hypersensitivity
• V-tach, severe hypotension, cardiogenic shock, or heart failure
• Untreated sick sinus syndrome
• 2nd or 3rd degree heart block except in the presence of a functioning ventricular pacemaker.
• A-flutter/fib with Wolfe-Parkinson White syndrome
• Acute MI and pulmonary edema
• Excessive therapy with beta blockers and/or digoxin