Generic Name T Rade Name Classification Diltiazem Cardizem Antianginals, Antiarrhythmics,

Generic name T rade name Classification Diltiazem Cardizem Antianginals, antiarrhythmics, antihypertensives, CCB

Route PO

T ime/Frequency Normal Dosage- 180 milligrams (mg) to 360 mg, divided into 3 or 4 smaller doses

Indications-hypertension, angina pectoris and Contraindications/warnings/interactions vasospastic angina. Supraventricular tachyarrhythmias Hypersensitivity, artificial pacemaker and rapid ventricular rates in atrial flutter or fibrillation.

M echanism of action-Inhibits transport of calcium into Common side effects-arrhythmias, CHF, peripheral edema myocardial and vascular smooth muscle cells, resulting in inhibition of excitation-contraction coupling and subsequent contraction. Afib. Lab value alterations-Serum potassium levels, renal and hepatic functions Nursing Considerations-BP, pulse, I&O, daily weight. Assess for signs of CHF (peripheral edema, rales/crackles, dyspnia, weight gain, jugular venous distention. Interactions with other patient drugs, OT C, or herbal medicines-Antihypertensives, NSAIDs, grapefruit juice Why would you hold or not giveEvaluation- Check after giving this med?HR < 50 bpm Decrease in BP, Increase in activity tolerance and sense of well-being.