This document provides information about the medication Diltiazem (Cardizem) including its classification, dose, route, and time/frequency of administration. It describes the medication's mechanism of action for treating hypertension, angina, and arrhythmias by inhibiting calcium transport. Nursing implications focus on contraindications like hypersensitivity, interactions with other medications, monitoring for side effects like arrhythmias or changes in lab values, and patient education. The nursing process for assessment includes evaluating vital signs, intake/output, weight before administering and monitoring for signs of congestive heart failure as the primary side effect.
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This document provides information about the medication Diltiazem (Cardizem) including its classification, dose, route, and time/frequency of administration. It describes the medication's mechanism of action for treating hypertension, angina, and arrhythmias by inhibiting calcium transport. Nursing implications focus on contraindications like hypersensitivity, interactions with other medications, monitoring for side effects like arrhythmias or changes in lab values, and patient education. The nursing process for assessment includes evaluating vital signs, intake/output, weight before administering and monitoring for signs of congestive heart failure as the primary side effect.
This document provides information about the medication Diltiazem (Cardizem) including its classification, dose, route, and time/frequency of administration. It describes the medication's mechanism of action for treating hypertension, angina, and arrhythmias by inhibiting calcium transport. Nursing implications focus on contraindications like hypersensitivity, interactions with other medications, monitoring for side effects like arrhythmias or changes in lab values, and patient education. The nursing process for assessment includes evaluating vital signs, intake/output, weight before administering and monitoring for signs of congestive heart failure as the primary side effect.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
This document provides information about the medication Diltiazem (Cardizem) including its classification, dose, route, and time/frequency of administration. It describes the medication's mechanism of action for treating hypertension, angina, and arrhythmias by inhibiting calcium transport. Nursing implications focus on contraindications like hypersensitivity, interactions with other medications, monitoring for side effects like arrhythmias or changes in lab values, and patient education. The nursing process for assessment includes evaluating vital signs, intake/output, weight before administering and monitoring for signs of congestive heart failure as the primary side effect.
Copyright:
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Download as DOC, PDF, TXT or read online from Scribd
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NURS 1556 Clinical Medications Worksheets
(You will need to make additional copies of these forms)
Generic Name Trade Name Classification Dose Route Time/frequency
Diltiazem Cardizem Antianginals, 180 mg PO QD antiarrhythmics, antihypertensives, CCB Peak Onset Duration For IV meds, compatibility with IV drips and /or 2-3 hr 30 min. 6-8 hr solutions
Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on) Hypertension, angina pectoris and vasospastic angina. Contraindications/warnings/interactions - Supraventricular tachyarrhythmias and rapid ventricular Hypersensitivity, artificial pacemaker rates in atrial flutter or fibrillation. Inhibits transport of calcium into myocardial and vascular smooth muscle Common side effects – arrhythmias, CHF, peripheral cells, resulting in inhibition of excitation-contraction edema coupling and subsequent contraction. Afib. Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine – Serum medicines (ask patient specifically) – Antihypertensives, potassium levels, renal and hepatic functions NSAIDs, grapefruit juice periodically. Be sure to teach the patient the following about this medication – Take med at same time, avoid grapefruit juice, monitor pulse, change positions slowly, good dental hygiene, avoid photosensitivity. Nursing Process- Assessment Assessment Why would you hold or Evaluation Check after (Pre-administration assessment) – BP, pulse, not give this med? – HR < 50 bpm giving Decrease in BP, I&O, daily weight. Assess for signs of CHF Increase in activity (peripheral edema, rales/crackles, dyspnia, tolerance and sense of weight gain, jugular venous distention. well-being.
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