Diltiazem is used to control rapid heartbeats or abnormal heart rhythms
a) Initial bolus - - (1) 20 mg
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
Uses of Cardizem: It is used to treat certain types of abnormal heartbeats
Thromboembolism is a complication of atrial fibrillation, which often leads to the concomitant continuous IV infusion of heparin sodium At the first sign of extravasation, nursing intervention with following steps is recommended: stop administration of IV fluids immediately, disconnect the IV tube from the cannula, aspirate any remaining drug from the cannula, administer drug-specific antidote, and notify the physician
Some drugs, including anti-cancer agents, are directly cytotoxic to cells
CARDIZEM® (diltiazem hydrochloride) is a calcium ion cellular influx inhibitor (slow channel blocker or calcium antagonist)
Call your doctor for medical advice about side effects
Diltiazem is a Class IV, non-dihydropyridine CCB anti-arrhythmic, serving as the most common pharmacological agent used for the treatment of AF and SVTs, for patients that are hemodynamically stable
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These are the most common signs and symptoms of the IV infiltration: Inflammation at or near the site of insertion
The infusion has reduced its speed or it has Steps to Convert from IV to Oral Diltiazem: Step 1 = Calculate the equivalent oral daily dose of diltiazem based on the IV infusion rate (see above) Step 2 = Divide the equivalent total daily dose by 4 to determine the dose to be given every 6 hours of the IR oral dosage form
Your doctor will only give you a few doses of this medicine until your condition improves, and then you will be switched to an oral medicine that works the same way
Diltiazem affects the movement of calcium into the cells of the heart and blood vessels
 It is stated in the Cardene insert info to rotate/change sites every 12 hours
Our study differs from these studies in the definition of ventricular rate Published Mar 16, 2017
I needed to hang cardizem 5mg
Hypertension
Maximum antihypertensive effect is usually observed by 14 days of chronic therapy; therefore, schedule dosage adjustments accordingly
25 mg/kg, with continuous infusions running at 5-15 mg/hour for up to headache, dizziness, weakness; slower heart rate; pain, bruising, swelling, or irritation where the medicine was injected; nausea, upset stomach; or
Home
Study population demographics are reported in Table 1 Diltiazem is a benzothiazepine derivative with antihypertensive and vasodilating properties
If ineffective after 15 minutes:
Sagent has diltiazem injection available
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)
In a study involving single oral doses of 300 mg of CARDIZEM in six normal volunteers, the average maximum PR prolongation was 14% with no instances of greater than first-degree AV block
Diltiazem is also available in intravenous formulations which are used in therapy of atrial arrhythmias, including atrial fibrillation or flutter and superventricular tachycardia
333,334: I: B-NR: 4
Diltiazem is a slow calcium channel blocker that binds to the extracellular site of the alpha-1C subunit of the channel, which is thought to be the S5-6 linker region of the transmembrane domain IV and/or S6 segment of domain III
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At the first sign of extravasation, nursing intervention with following steps is recommended: stop administration of IV fluids immediately, disconnect the IV tube from
Certain drugs cause vasospasms, which result in back pressure at the intravenous (IV) site and may expand the puncture site in the vein, allowing leakage to occur; drugs that act
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Generic name: Diltiazem Injection [ dil-TYE-a-zem ] Brand name: Cardizem
5–10 mg/h
g
Uses Before taking Dosage Warnings Side effects Brand names Uses for Cardizem CD Diltiazem is used alone or together with other medicines
Compatibility: Diltiazem hydrochloride injection was tested for compatibility with three commonly used intravenous fluids at a maximal concentration of 1 mg diltiazem hydrochloride per milliliter
35 mg/kg
01, 2024
Diltiazem (Intravenous Route) The terms used were physical compatibility, drug stability, y-site, y-injection, intravenous drug, plus the names and synonyms of the drugs of interest
Along with its needed effects, diltiazem (the active ingredient contained in Cardizem) may cause some unwanted effects
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Portions of this document last updated Diltiazem hydrochloride injection rarely converts atrial fibrillation or atrial flutter to normal sinus rhythm
Each mL contains: Active: 5 mg Diltiazem Hydrochloride
Concomitantly infusing these medications through the same IV line minimizes multiple IV sites
In a study involving single oral doses of 300 mg of Cardizem in six normal volunteers, the average maximum PR prolongation was 14% with no instances of greater than first-degree AV block
headache, dizziness, weakness; slower heart rate; pain, bruising, swelling, or irritation where the medicine was injected; nausea, upset stomach; or
a Protect from light
as brand; see generic] angina, chronic stable [180-360 mg/day PO divided q6-8h] Start: 30 mg PO qid, may incr
Although individual patients may respond to any dosage level, the average optimum dosage range appears to be 180 to 360 mg/day
Attach the secondary/piggyback primed tubing (see figure 12)
For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other Intravenous diltiazem hydrochloride 20 mg prolongs AH conduction time and AV node functional and effective refractory periods by approximately 20%