Diltiazem

Question 1

Diltiazem:
Classification -
1. ___

Answer 1

Classification -

1. Calcium-channel blocker.

Question 2

Diltiazem:
Action -
1. ___

Answer 2

Action -

1. Slows conduction through AV node.

Question 3

Diltiazem:
Onset of Action -
1. ___

Answer 3

Onset of Action -

1. 3 minutes.

Question 4

Diltiazem:
Duration of Action -
1. ___

Answer 4

Duration of Action -

1. 1-3 hours.

Question 5

Diltiazem:
Indication -
1. ___
2. ___

Answer 5

Indication -

1. To control ventricular rate in symptomatic atrial fibrillation or flutter.
2. Use after adenosine to treat refractory reentry SVT in patients with narrow complex QRS.

Question 6

Diltiazem: 
Contraindication - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_ 
4. \_\_\_ 
5. \_\_\_ 
6. \_\_\_ 
7. \_\_\_

Answer 6

Contraindication -

1. Sick Sinus Syndrome.
2. Second or third degree heart block.
3. A-fib associated with WPW or short PR syndrome.
4. Hypotension - systolic < 90.
5. Cardiogenic shock.
6. Hypersensitivity.
7. Wide complex tachycardia.

Question 7

Diltiazem: 
Use with Caution - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_

Answer 7

Use with Caution -

1. Can cause hypotension.
2. Impaired renal or hepatic function.
3. Patients on oral beta blockers.

Question 8

Diltiazem:
Dosage and Administration -
1. Adult: ___

Answer 8

Dosage and Administration -
1. Adult: Initial dose 15-20 mg IV over 2 minutes. Second dose after 15 minutes, if needed, is 20-25 mg IV over 2 minutes.

Question 9

Diltiazem:
Adverse Reaction -
1. (List of 9)

Answer 9

Adverse Reaction -
1. Bradycardia, Chest pain, Syncope, Ventricular arrhythmia, Ventricular fibrillation, Sweating, Dizziness, Dry mouth, Headache.

Question 10

Diltiazem:
Dosage and Administration -
1. Pediatric: ___

Answer 10

Dosage and Administration -

1. Pediatric: Contact Mary Bridge.