How do you titrate Cardizem drip?
-(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.) -(2) May bolus 10 mg.
How do you administer IV Cardizem?
IV Administration IV Push: Dilution: Administer bolus dose undiluted. Concentration: 5 mg/mL. Rate: Administer over 2 min. Continuous Infusion: Dilution: 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 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 long should a Cardizem drip infuse?
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.
Do you titrate diltiazem?
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 fast do you give Cardizem IV push?
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 prepare diltiazem infusion?
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.
What is the half life of Cardizem IV?
A single 360 mg dose of CARDIZEM LA results in detectable plasma levels within 3 to 4 hours and peak plasma levels between 11 and 18 hours; absorption occurs throughout the dosing interval. The apparent elimination half-life for CARDIZEM LA Tablets after single or multiple dosing is 6 to 9 hours.
Do you dilute Cardizem IV push?
IV Push: Dilution: Administer bolus dose undiluted. Concentration: 5 mg/mL. Rate: Administer over 2 min. Continuous Infusion: Dilution: 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.
What does titrating drips mean?
Titration: increasing or decreasing a vasoactive drug infusion for therapeutic effect. Vasopressor: a class of drugs that induce arteriole vasoconstriction and thereby elevate blood pressure.
How do you transition from IV Cardizem to Po?
When converting patients on a continuous IV infusion of diltiazem to an oral dose of diltiazem, you can use the following equation: Oral dose (in mg per day) = [rate (mg/hr) x 3 + 3] x 10.
How do you do a titration?
Record the pH value in the data table as “pH initial.” Place the flask under the NaOH burette and add the base slowly, drop by drop while swirling the solution. Watch the solution carefully, when the last drop added causes the solution to change color the titration is close to completion.
How long does it take for Cardizem IV to work?
Following administration of one or two intravenous bolus doses of Diltiazem Injection, response usually occurs within 3 minutes and maximal heart rate reduction generally occurs in 2 to 7 minutes. Heart rate reduction may last from 1 to 3 hours.
How do you administer diltiazem?
How should this medicine be used? 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 long does it take IV Cardizem to work?
How fast do you push Cardizem?
Although dosages may vary based on physician orders, protocols and age, a standard initial dose is 0.25 mg/kg, ranging between 10-20 mg over 2 minutes, with a second dose of 0.35 mg/kg, ranging between 20-25 mg over 2 minutes, often followed by a 5-10 mg/hr infusion.
How do you dilute diltiazem?
What is the protocol for Cardizem IV?
IV DILTIAZEM (CARDIZEM) PROTOCOL. If HR greater than 120, and systolic BP greater than 100 mmHg (for Systolic BP less than 100 mmHg – notify MD before considering protocol). a) Initial bolus – – (1) 20 mg. IV over 2 minutes. – (2) 10 minutes after initial bolus, if HR still greater than 120 and SBP greater than 100, repeat bolus 20 mg.
How much Cardizem do you give a patient?
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. (20 mg is a reasonable dose for the average patient.)
How to titrate a Cardizem drip?
How to Titrate a Cardizem Drip 1 Monitoring the Patient. Patient’s with Cardizem drips are facing cardiac issues which require close surveillance and monitoring by a nurse. 2 Titrate According to the Heart Rate. 3 Advocate for the Patient. 4 Master Cardiology with the Cardiac Nurse Crash Course from Fresh RN.
How is Cardizem administered for a-fib/flutter?
The initial dosing of Cardizem for A-fib/flutter might be something like the following: Dosing (A-fib/flutter) initially 0.25 mg/kg over 2 min. If inadequate give 0.35 mg/kg over 2 min-15 min after 1st dose. Subsequent doses should be individualized. Continuous infusion: started immediately following an effective bolus dose.