How do you convert diltiazem iv 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.
What is DILT drip?
Descriptions. Diltiazem is used to control rapid heartbeats or abnormal heart rhythms. It belongs to a group of drugs called calcium channel blocking agents. Diltiazem affects the movement of calcium into the cells of the heart and blood vessels.
What is the half life of IV diltiazem?
After i.v. administration biphasic elimination was observed, with a distribution half-life of 0.3 +/- 0.2 h and an elimination half-life of 3.1 +/- 1.0 h; the apparent volume of distribution was 5.3 +/- 1.71/kg and the total clearance was 1.28 +/- 0.48 l/kg/h.
When should I stop taking diltiazem drip?
Discontinue bolus/infusion and notify MD if HR less than 60 Beats Per Minute, Systolic BP less than 90 mmHg, pauses greater than 2 seconds. The above is slightly modified from an American College of Cardiology pdf that is no longer online.
How do you give metoprolol IV push?
Metoprolol: 5 mg intravenous push over 1 to 2 minutes, then repeat dose every 5 minutes for a total of 3 doses (15 mg total dose). Within 15 minutes of the last intravenous dose, start metoprolol 25 to 50 mg orally every 6 hour for 48 hours, then increase to 100 mg orally twice daily thereafter.
How do I transition from Cardizem drip to po?
When actually making the switch, give the first oral dose about 1 hour before you plan to stop the drip. 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).
What is IV Cardizem used for?
What is Cardizem and how is it used? Cardizem is a prescription medicine used to treat the symptoms of chest pain (angina), high blood pressure (hypertension), as well as certain heart rhythm disorders such as dangerously rapid heartbeats (Paroxysmal Supraventricular Tachycardia), and Atrial Fibrillation/Flutter.
How do you give diltiazem IV?
Begin 10 mg/hour continuous IV infusion immediately following the IV bolus. Some patients respond to lower doses (e.g., 5 mg/hour). Increase infusion by 5 mg/hour up to a maximum of 15 mg/hour as needed. Continuous IV therapy should not be administered for longer than 24 hours.
How long does IV diltiazem take 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 IV?
Can you give diltiazem 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.