Diltiazem Flashcards

1
Q

Diltiazem:
Classification -
1. ___

A

Classification -

1. Calcium-channel blocker.

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2
Q

Diltiazem:
Action -
1. ___

A

Action -

1. Slows conduction through AV node.

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3
Q

Diltiazem:
Onset of Action -
1. ___

A

Onset of Action -

1. 3 minutes.

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4
Q

Diltiazem:
Duration of Action -
1. ___

A

Duration of Action -

1. 1-3 hours.

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5
Q

Diltiazem:
Indication -
1. ___
2. ___

A

Indication -

  1. To control ventricular rate in symptomatic atrial fibrillation or flutter.
  2. Use after adenosine to treat refractory reentry SVT in patients with narrow complex QRS.
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6
Q
Diltiazem: 
Contraindication - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_ 
4. \_\_\_ 
5. \_\_\_ 
6. \_\_\_ 
7. \_\_\_
A

Contraindication -

  1. Sick Sinus Syndrome.
  2. Second or third degree heart block.
  3. A-fib associated with WPW or short PR syndrome.
  4. Hypotension - systolic < 90.
  5. Cardiogenic shock.
  6. Hypersensitivity.
  7. Wide complex tachycardia.
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7
Q
Diltiazem: 
Use with Caution - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_
A

Use with Caution -

  1. Can cause hypotension.
  2. Impaired renal or hepatic function.
  3. Patients on oral beta blockers.
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8
Q

Diltiazem:
Dosage and Administration -
1. Adult: ___

A

Dosage and Administration -
1. Adult: Initial dose 15-20 mg IV over 2 minutes. Second dose after 15 minutes, if needed, is 20-25 mg IV over 2 minutes.

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9
Q

Diltiazem:
Adverse Reaction -
1. (List of 9)

A

Adverse Reaction -
1. Bradycardia, Chest pain, Syncope, Ventricular arrhythmia, Ventricular fibrillation, Sweating, Dizziness, Dry mouth, Headache.

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10
Q

Diltiazem:
Dosage and Administration -
1. Pediatric: ___

A

Dosage and Administration -

1. Pediatric: Contact Mary Bridge.

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