25 mg/kg based on actual body weight (average dose: 20 mg) by direct IV injection over 2 minutes
It is used in many clinical scenarios as an antihypertensive, anti-arrhythmic, and anti-anginal
It may be used alone or in combination with other high blood pressure medications
Chemically, diltiazem hydrochloride is Diltiazem hydrochloride is extensively metabolized by the liver and excreted by the kidneys and in bile
He is on Diltiazem 30 mg for night time med
The objective of this study was to investigate diltiazem administration in a community ED and determine the effect of varying doses on heart rate (HR) control, systolic blood pressure (SBP) and diastolic blood pressure (DBP)
Your doctor may adjust your dose as needed
com: A calcium channel blocker used to slow the ventricular rate of rapid atrial fibrillation and atrial flutter
Blood Pressure: 140/100 mmHg Ventilatory Rate: 22/min SpO2: 98% on room air The patient is compliant with his medications and denies any allergies
It works by relaxing the blood vessels so the heart does not have to pump as hard
As with any drug given over prolonged periods, laboratory parameters of renal and hepatic function should be monitored at regular intervals
Hypertension Initiate dosing at 180 to 240 mg once daily, although some patients may respond to lower doses
Diltiazem may cause serious side effects
Extended Release Coated Capsules: Initial dose: 180 to 240 mg orally once a day, increasing the dose as needed
25 mg/kg based on actual body weight (average dose: 20 mg) by direct IV injection over 2 minutes
In subacute and chronic dog and rat studies designed to produce toxicity, high doses of diltiazem were associated with hepatic damage
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INDICATIONS: ATRIAL FIBRILLATION, ATRIAL FLUTTER
The drug should be used with caution in patients with impaired renal or hepatic function
Give first PO dose 1 hour prior to titrating drip
3% of the experts consider 120 mg every 12 h as the most common dose of diltiazem that achieves efficacy in patients with angina, followed by a dose of 300 mg/day (50% of the experts) and 240 mg/day (33% of the experts)
Azor
Find medical information for Cardizem on epocrates online, including its dosing, contraindications, drug interactions, and pill pictures
My tele unit has a similar policy
The other day, a bunch of the nurses were picking on another new nurse for holding lisinopril for a pulse less than 60
Diltiazem (Cardizem ®) Class: Calcium (Ca ++) channel blocker
(Physician to specify loading dose) then Infusion: 2 mcg/kg/min Titrate by: 1 mcg/kg/min q 10 mins ⱡ Max rate: 10 mcg/kg/min Neuromuscular blockade, to achieve 2 twitches on Train of Four test
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Compared to nifedipine and other medications in the dihydropyridine class, amlodipine has the longest half-life at 30 to 50 hours
CARDIZEM is uncertain in most cases, but probable in some (see
As with any drug given over prolonged periods, laboratory parameters of renal and hepatic function should be monitored at Diltiazem may be used for the treatment of high blood pressure or chronic stable angina
Most other diltiazem formulations can be Diltiazem This information from Lexicomp explains what you need to know about this medication, including what it's used for, how to take it, its side effects, and when to call your healthcare provider
All forms of diltiazem are available as brand-name and lower-cost generic versions
The starting dose is somewhat weight based (the initial bolus should be 0
( Level of Evidence: B ) In patients with AF associated with thyrotoxicosis, use oral anticoagulation (INR 2 to 3) to prevent thromboembolism, as recommended for AF patients with other risk Diltiazem Hydrochloride in Dextrose Injection is a sterile, clear, colorless solution in a single-dose bag supplied as: 125 mg/125 mL (NDC 51754-3000-1) 250 mg/ 250 mL (NDC 51754-3500-1) Discard any unused portion
If an infusion is used, it will tend to accumulate and be difficult to titrate
Am Fam Physician
The drug should be used with caution in patients with impaired renal or hepatic function
1,646 patients were included: 736 received metoprolol, 292 received diltiazem, and 618 received amiodarone
03) and there was a trend towards increased failure rates in patients who received diltiazem (OR 1
Diltiazem is available in many dosage forms and strengths, making it imperative to be cautious when prescribing, dispensing, and administering this medication
" Prophylactic amiodarone is a reasonable alternative to diltiazem, but it should be used in limited doses and should likely be avoided for certain patients
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Cardizem Dosage Print Save Cardizem Dosage Generic name: Diltiazem Hydrochloride 30mg Dosage form: tablet, coated Drug classes: Calcium channel
Adults—At first, 30 milligrams (mg) 4 times a day before meals and at bedtime
Chemically, diltiazem
Cardizem CD (diltiazem HCl) is a calcium channel blocker used to treat high blood pressure ( hypertension) and prevent chest pain ( angina )
Cardizem is a medication administered for cardiac conditions
CARDIZEM ® CD (diltiazem hydrochloride) is a calcium ion cellular influx inhibitor (slow channel blocker or calcium antagonist)
High blood pressure is a common condition, and when not treated it can cause damage to the brain, heart, blood vessels, kidneys The chemical structure is: Diltiazem hydrochloride is a white to off-white crystalline powder with a bitter taste
Diltiazem 100 mg/100 mL 1 mg/mL Load: 0
Ventricular rate control in patients with atrial fibrillation or flutter Diltiazem (CARDIZEM) / Calcium Channel Blocker
These agents are often classified into two major categories, either non-dihydropyridines or dihydropyridines
Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position If you feel dizzy, lie If HR greater than 120, and systolic BP greater than 100 mmHg (for Systolic BP less than 100 mmHg – notify MD before considering protocol)
aztreonam
IV to PO diltiazem: Oral dose = (IV drip rate [in mg/hr] x 3 + 3) x10 Steps to covert from diltiazem IV to PO 1
As with any drug given over prolonged periods, laboratory parameters of renal and hepatic function should be monitored at regular intervals
CARDIZEM (diltiazem hydrochloride) is extensively metabolized by the liver and excreted by the kidneys and in bile
Consider addition 30mg PO IR Diltiazem q6 hours or home dose to reduce need for drip
Round dose to a 30 mg increment, Diltiazem is a medication that treats various heart conditions
To prepare packaging material: remove syringe and plunger from package
The chemical structure is: Diltiazem hydrochloride is a white to off-white crystalline powder with a bitter taste
Diltiazem has a wide range of side effects
The drip has been infusing for 15 minutes