Diltiazem

Question 0

Class

Answer 0

Calcium Channel Blocker, Calcium Antagonist

Question 1

Brand Name

Answer 1

Cardizem

Question 2

Mechanism of Action

Answer 2

Slows the RVR associated with atrial fib and atrial flutter, Inhibits calcium ion influx across cell membranes during cardiac depolarization

Question 3

Indications and Field Use

Answer 3

RVR associated with a fib and a flutter, and for SVT refractory to adenosine.

Question 4

Contraindications

Answer 4

Hypotension, Acute MI, Cardiogenic Shock, Wide complex tachycardia, heart blocks, WPW, SSS, Beta Blocker use (only IV)

Question 5

Adult Dosage

Answer 5

.25mg/kg IVP (usually 20mg) administered over 2 min, if no response MR in 15min .35mg/kg IV over 2 minutes