Diltiazem 🫀

Question 1

Diltiazem (Cardizem): Class

Answer 1

Antidysrhythmic
Calcium Channel Blocker

Question 2

Diltiazem (Cardizem): Indications

Answer 2

• A-Fib w/ RVR
• A-Flutter with RVR

(RVR: Rapid Ventricular Rates)

Question 3

Diltiazem (Cardizem): Contraindications

Answer 3

• Wide-complex tachycardia
• Sick Sinus Syndrome
• Cardiogenic shock

“Sick Sinus, Slow Sinus, Stop the Diltiazem.”

Question 4

Diltiazem (Cardizem): Dose/Admin

Answer 4

Adult
0.25mg/kg IV slow bolus. (Avg. dose 20mg.) May repeat after 15 min. at 0.35mg/kg slow bolus. Max 25mg.

Pediatric
Not recommended in EMS setting.