For a goal HR less than 110 (and SBP greater than 100) if the patient is asymptomatic at HR < 110
Diltiazem hydrochloride 1 g/L (1 mg/mL) in dextrose 5% and in sodium chloride 0
Diltiazem (brand name Cardizem) is a calcium channel blocker medicine that relaxes the blood vessels and muscles of your heart to relieve a-fib heart rhythm
Infusion is
Drip can be titrated to 15mg/hr, with re-bolus of 0
Cardizem, Cardizem CD (diltiazem) dosing, indications, interactions, adverse effects, and more
In the typical patient with untreated AF, the ventricular rate can reach 150 beats/min or higher
Diltiazem is used to prevent chest pain ( angina )
That same year, the White House said it was cracking down on drip pricing
Especially with hepatic dysfunction, diltiazem may accumulate
In the absence of drugs that slow AV nodal conduction, a higher degree of AV PO (Adults): 30–120 mg 3–4 times daily or 180–240 mg once daily as CD or XR capsules or LA tablets (up to 360 mg/day); Concurrent simvastatin therapy: Diltiazem dose should not exceed 240 mg/day and simvastatin dose should not exceed 10 mg/day
However, fatal and non-fatal stroke was reduced by 25% in the diltiazem group (relative risk: 0
The rate is generally considered controlled when the ventricular response is between 60 and 80 bpm at rest and between 90 to 115 bpm during moderate exercise (156,157)
Patients who respond after 1 or 2 bolus doses can be started on a continuous infusion
However, an initial bolus dose was more common in the diltiazem group as compared with the verapamil group
It works by affecting the movement of calcium into the cells of the heart and blood vessels
A 24-hour continuous infusion of diltiazem hydrochloride injection in the treatment of atrial fibrillation or atrial flutter maintained at least a 20% heart rate reduction during the infusion in 83% of patients
Upon discontinuation of infusion, heart rate reduction may last from 0
2012
Diltiazem Administration Pearls: Response usually occurs in 3 minutes with maximum heart rate reduction generally occurring in 2-7 minutes
As your infusion pumps are not programmed to administer diltiazem by slow infusion, you feel safer administering a 0
Diltiazem drug calculation for Nurses | Drip calculation | CARDIZEM infusion|Class: Calcium-channel blockersTherapeutic Classification : AntiarrhythmicIND Cardizem CD (Diltiazem HCl) may treat, side effects, dosage, drug interactions, warnings, patient labeling, reviews, and related medications including drug comparison and health resources
headache, dizziness, weakness; slower heart rate; pain, bruising, swelling, or irritation where the medicine was injected; nausea, upset stomach; or
flushing or redness of the skin, especially on the face and neck
35 mg/kg Do not dilute HR, BP, baseline ECG Maximum infusion rate based on weight and renal function
Reviewed by: Diltiazem may be used for the treatment of high blood pressure or chronic stable angina
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High blood pressure is a common condition, and when not treated it can cause damage to the brain, heart, blood vessels, kidneys