What is the nursing implications for CARDIZEM?
Caution patient to change positions slowly to minimize orthostatic hypotension. May cause drowsiness or dizziness. Advise patient to avoid driving or other activities requiring alertness until response to the medication is known.
Can you give CARDIZEM with low blood pressure?
You should not use Cardizem if you have very low blood pressure, a serious heart condition such as “sick sinus syndrome” or “AV block” (unless you have a pacemaker), or if you have recently had a heart attack and you have a build-up of fluid in your lungs.
What should I monitor on CARDIZEM?
Assessment
- Monitor BP and pulse prior to therapy, during dose titration, and periodically during therapy.
- Assess for rash periodically during therapy.
- Angina: Assess location, duration, intensity, and precipitating factors of patient’s anginal pain.
- Arrhythmias: Monitor ECG continuously during administration.
Does Cardizem decrease cardiac output?
CARDIZEM CD decreases vascular resistance, increases cardiac output (by increasing stroke volume), and produces a slight decrease or no change in heart rate.
When should you not give CARDIZEM?
CARDIZEM is contraindicated in (1) patients with sick sinus syndrome except in the presence of a functioning ventricular pacemaker, (2) patients with second- or third-degree AV block except in the presence of a functioning ventricular pacemaker, (3) patients with hypotension (less than 90 mm Hg systolic), (4) patients …
Does CARDIZEM affect heart rate?
Diltiazem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart and lowers the heart rate. Blood can flow more easily and your heart works less hard to pump blood.
Does Cardizem affect heart rate?
Does Cardizem cause bradycardia?
Taking diltiazem could cause a slow heartbeat (bradycardia) when taken with certain heart drugs.
Does diltiazem increase cardiac output?
CARDIZEM CD decreases vascular resistance, increases cardiac output (by increasing stroke volume), and produces a slight decrease or no change in heart rate. During dynamic exercise, increases in diastolic pressure are inhibited, while maximum achievable systolic pressure is usually reduced.
What are the side effects of Cardizem and cartia XT?
Metabolism and Excretion: Mostly metabolized by the liver (CYP3A4 enzyme system). †Maximum antihypertensive effect with chronic therapy. Concurrent use of rifampin. OB: Lactation: Pedi: Safety not established. CNS: abnormal dreams, anxiety, confusion, dizziness, drowsiness, headache, nervousness, psychiatric disturbances, weakness.
How many mg of Cardizem can you take in a day?
May follow with continuous infusion at 10 mg/hr (range 5–15 mg/hr) for up to 24 hr. Extended-release capsules (Cardizem CD, Tiazac, Cartia XT, Taztia XT): 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg Monitor BP and pulse prior to therapy, during dose titration, and periodically during therapy.
Are there any nursing interventions for abnormal HGB?
3. Treatment – Low K diet, Kayexalate po or enemas, Lasix , Check I&O, IV infusion of glucose & insulin solution to move K back into the cells 1. S&S – cardiac dysrhythmias, flattened T waves, prominent U waves, weakness, paralysis, dizziness, hyporeflexia, ileus, decreased bowel sounds and deep tendon reflexes, confusion
What do you need to know about Cardizem and angina?
Angina: Assess location, duration, intensity, and precipitating factors of patient’s anginal pain. Arrhythmias: Monitor ECG continuously during administration. Report bradycardia or prolonged hypotension promptly. Emergency equipment and medication should be available. Monitor BP and pulse before and frequently during administration.
