How fast do you push diltiazem IV?
In the standard IV push group, diltiazem will be administered at a dose of 0.25 mg/kg, to a max dose of 25 mg, over 2 minutes.
How do you give diltiazem IV?
Begin 10 mg/hour continuous IV infusion immediately following the IV bolus. Some patients respond to lower doses (e.g., 5 mg/hour). Increase infusion by 5 mg/hour up to a maximum of 15 mg/hour as needed. Continuous IV therapy should not be administered for longer than 24 hours.
How can diltiazem be administered?
Diltiazem comes as a tablet, an extended-release (long-acting) tablet, and an extended-release capsule to take by mouth. The regular tablet is usually taken three or four times a day. The extended-release capsule and tablet are usually taken one or two times a day.
How do you titrate diltiazem drip?
When actually making the switch, give the first oral dose about 1 hour before you plan to stop the drip. After the first hour, slowly titrate down the diltiazem drip by 2.5 mg/hr increments until 0. By then, the diltiazem should have time to be absorbed and distributed (time to Tmax is approximately 1 to 1.5 hours).
How do I start Cardizem drip?
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 0.25mg/kg with each increase.
How do you give Cardizem bolus?
An initial Cardizem I.V. Bolus dose may be ordered by the physician. The initial dose should be 0.25 mg/kg actual body weight as a bolus administered over 2 minutes. If response is inadequate, a second bolus dose may be administered after 15 minutes.
What should you assess before administering diltiazem?
Check blood pressure, heart rate, and cardiac monitor prior to administering diltiazem. Assess baseline renal (BUN, Cr) and liver function (AST, ALT) lab tests. Monitor for signs of heart failure (e.g., pulmonary edema, weakness, dyspnea). Provide analgesic for headache.
Is Cardizem compatible with normal saline?
Dilution: To prepare diltiazem hydrochloride injection for continuous intravenous infusion aseptically transfer the appropriate quantity (see chart) of diltiazem hydrochloride injection to the desired volume of either Normal Saline, D5W, or D5W/0.45% NaCl. Mix thoroughly. Use within 24 hours.
Can diltiazem be crushed?
Diltiazem can be given in a tablet or capsule form. The tablets and capsules are not interchangeable; do not use both. The tablets should be taken on an empty stomach, about half to one hour before food. If necessary, the tablets can be crushed or cut.
Can you give Cardizem IV push?
IV Administration IV Push: Diluent: Administer bolus dose undiluted. Concentration: 5 mg/mL. Rate: Administer over 2 min. Continuous Infusion: Diluent: Dilute 125 mg in 100 mL, 250 mg in 250 mL, or 250 mg in 500 mL of 0.9% NaCl, D5W, or D5/0.45% NaCl.
How do you increase Cardizem drip?
b) Infusion rate -(1 ) Begin infusion rate at 10 mg/hour drip immediately after initial bolus. May adjust infusion rate hereafter from 5-15 mg/hour to maintain HR 70-110 BPM. (May increase rate 30 minutes after the previous rate if HR not controlled.)
What should I monitor for Cardizem drip?
Continuous cardiac monitoring with documentation of rhythm requiring intervention. Keep HR <120 and >50 and Systolic BP >100mmHg If HR remains >120 after 4 Hours and infusion is at 15mg/hr, notify physician. Vital Signs every 15 min. x4, every 30 min.
What’s the normal infusion rate for diltiazem?
Usual Adult Dose for Atrial Fibrillation. Continuous Infusion: -The continuous infusion should begin immediately following a bolus injection of 0.25 mg/kg IV OR 0.35 mg/kg IV administered over 2 minutes. -Initial infusion rate: 10 mg/hr IV -Maintenance infusion rate: The infusion rate may be increased in 5 mg/hr increments up to 15 mg/hr.
When to take diltiazem hydrochloride for atrial flutter?
For continued reduction of the heart rate (up to 24 hours) in patients with atrial fibrillation or atrial flutter, an intravenous infusion of diltiazem hydrochloride may be administered.
How often should I take diltiazem before bed?
-Initial dose: 180 mg orally once a day, increasing the dose every 7 to 14 days as needed. -Maximum dose: 360 mg/day. Immediate Release Tablets: -Initial dose: 30 mg orally 4 times a day (before meals and bedtime), increasing gradually every 1 to 2 days until the optimal response is attained.
What are the side effects of diltiazem XT?
CV: ARRHYTHMIAS, HF, peripheral edema, bradycardia, chest pain, hypotension, palpitations, syncope, tachycardia GI: ↑ liver enzymes, anorexia, constipation, diarrhea, dry mouth, dysgeusia, dyspepsia, nausea, vomiting