Diltiazem

Generic Name

diltiazem

Trade Name

Cardizem

Indication

hypertension, angina, SVT, a-fib, aflutter

Action

inhibits calcium transport resulting in inhibition of excitation and contraction, leads to depression of AV and SA node leading to decreased HR, leads to vasodilatation and decreased blood pressure.

Therapeutic Class

antianginals, antiarrhythmics, antihypertensive

Pharmacologic Class

Ca Channel Blocker (Bezothiazepine)

Nursing Considerations

contraindicated in 2nd and 3rd AV block

may cause arrhythmias, CHF, bradycardia, peripheral edema, gingival hyperplasia

increases digoxin levels

don't drink grapefruit juice

assess for signs of CHF

monitor EKG continuously

tell patient to change positions slowly

monitor serum potassium

instruct pt on how to take blood pressure