2 mg/h for 24 hours
For control of rapid ventricular response to atrial fibrillation or atrial flutter
Monitor ECG and blood pressure
Infusion: 5-10 mg/h immediately following direct injection; may be increased by 5 mg/h to a maximum of 15mg/h to achieve target; Intracoronary: 1 mg; Administration: IV Infusion:
Calculate total daily oral dose 2
Consider addition 30mg PO IR Diltiazem q6 hours or home dose to reduce need for drip
05–0
g: guidelines Diltiazem administration includes monitoring the patient’s blood pressure and heart rate before giving the dose and periodically throughout therapy
Uses Side effects Before taking Dosage Warnings Interactions What is Cardizem? Cardizem is used to treat hypertension ( high blood
DILTIAZEM (CARDIZEM) CONTINUOUS INFUSION – ICU Page 2 of 2 ADDITIONAL PROTOCOLS: • DOCUMENTA- 9
7 8 Using standardization as a quality improvement tool decreases variation, improves safety, and is the foundation for using clinical pathways and evidence-based guidelines
Inject 3-10 mL subcutaneously into extravasation site; use clinical judgment and size of extravasation site to determine volume
For a goal HR less than 110 (and SBP greater than 100) if the patient is asymptomatic at HR < 110
The Yale Protocol adjusts the rate of insulin infusion based on current BG level, previous BG values, and current insulin infusion rate
9 These guidelines, which are based on systematic methods to evaluate and classify evidence, provide a foundation for the delivery of quality cardiovascular care
b
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
SIDDOWAY, M
5 micrograms/kg/min (range of 0
IV Push IV infusion
Administer via IV infusion only, preferably through a central venous line
See Policy 100
An ultra-massive transfusion is defined as using more than 20 units of PRBCs within a 24- to 48-hour period
Diazepam (Valium) IVP (max: 10 mg/dose) IVP (max: 10 mg/dose) Diltiazem (Cardizem®) IVP IV infusion
It is mixed as a 1:1 drip
Washington, DC: National Academies Press Slow infusion of calcium channel blockers compared with intravenous adenosine in the emergency treatment of Consider addition 30mg PO IR Diltiazem q6 hours or home dose to reduce need for drip