Diltiazem (Intravenous Route) Description and Brand Names - Mayo ClinicPatients Diltiazem (Cardizem) Assessment Prior to administration: • Obtain complete health history allergies, drug history and possible drug interactions. • Assess blood pressure and pulse. • Assess EKG for bradydysrhthmias and heart block. • . A physician’s order is required for implementation of the protocol. Continuous cardiac with documentation of rhythm intervention. Prior to Diltiazem Infusion: BMP with Mg if one has not been drawn in the past 24 hours. In hypertensive emergency, the immediate goal is to reduce diastolic BP by 10 to 15% or to approximately mm Hg over a period of 30 to 60 minutes. If the patient is stable, systolic BP can be further reduced to mm Hg and DBP can be reduced to – mm Hg over the 2–6 hours. Diltiazem should be used with caution in patients with impaired liver or renal function. Intravenous Diltiazem administered to a patient who is oral beta-blockers maycause bradycardia, AV block, and/or depression of contractility. Caution should be used when Diltiazem and anesthetics. Adult Critical Care Intravenous Infusions Titration Protocol staff to titrate drip to achieve goal ordered by provider in assigned time intervals. Medication Standard Conc. Maximum Conc. Diltiazem (Cardizem®) Calcium channel blocker 1 mg/mL 1 mg/mL 5 – 20 mg/hr 20 mg/hr 5 mg/hr 15 min. Diltiazem (Cardizem) Infusion Protocol. Lower Umpqua Hospital Pharmacy and Therapeutics. Indication(s): Atrial Fibrillation/Flutter with rapid ventricular response (rate reduction) Paroxysmal Supraventricular Tachycardia. Contraindications: Sick Sinus File Size: 32KB. Diltiazem hydrochloride injection was found to be physically compatible and chemically stable in the parenteral solutions for at least 24 hours when stored in glass or polyvinylchloride (PVC) bags at controlled room temperature 20 to 25°C (68 to 77°F) [see USP] or under refrigeration 2 to 8°C . ryloa.linkpc.net provides and independent information on more than 24, prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 4 May ), Cerner Multum™ (updated 2 June ), Wolters Kluwer™ . May 05, · Although dosages may vary based on physician orders, protocols and age, a standard initial dose is mg/kg, between mg over 2 minutes, with a second dose of mg/kg, between mg over 2 minutes, often followed by a mg/hr infusion.
Diltiazem (Cardizem) Infusion Protocol. Lower Umpqua Hospital Pharmacy and Therapeutics. Indication(s): Atrial Fibrillation/Flutter with rapid ventricular response (rate reduction) Paroxysmal Supraventricular Tachycardia. Contraindications: Sick Sinus File Size: 32KB. For control of rapid ventricular response to atrial fibrillation or atrial flutter. If HR greater than , and systolic BP greater than mmHg (for Systolic BP less than mmHg – notify MD before protocol). a) Initial bolus – - (1) 20 mg. IV over 2 minutes. Start drip at 5mg/hr. Consider addition 30mg PO IR Diltiazem q6 hours or home dose to reduce need for drip. Drip can be titrated to 15mg/hr, with re-bolus of mg/kg with each increase. 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.
Select one or more newsletters to continue. Vasopressin is used in patients with refractory shock despite marked fluid resuscitation and the use of catecholamines such as norepinephrine and dopamine. It is used in acute angina, hypertensive crisis, pulmonary edema, congestive heart failure, and myocardial infarction. Although not all of these side effects may occur, if they do occur they may need medical attention. Select one of the following methods to complete this course. Vasopressin Vasopressin is an antidiuretic hormone. It will increase cardiac output and heart rate. All rights reserved. Epinephrine is used for profound refractory hypotension, ventricular fibrillation, VT, PEA, and asystole. The California Department of Public Health, Training Program Review Unit has determined that is the only way to prove that you actually spent the time to read the course. It cannot be stopped abruptly, as this may cause rebound hypertension and seizures. Soldier field gate map Apr 25,