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Diltiazem

This document provides information about the medication diltiazem, including its classification, dosing, mechanisms of action, nursing implications, interactions, and monitoring. Diltiazem is a calcium channel blocker used to treat hypertension, angina, and arrhythmias. It works by vasodilation to decrease blood pressure and coronary vasodilation to reduce angina attacks. Nurses should monitor for side effects like hypotension, bradycardia, and heart failure and educate patients about drug interactions and signs requiring medical attention.

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895 views2 pages

Diltiazem

This document provides information about the medication diltiazem, including its classification, dosing, mechanisms of action, nursing implications, interactions, and monitoring. Diltiazem is a calcium channel blocker used to treat hypertension, angina, and arrhythmias. It works by vasodilation to decrease blood pressure and coronary vasodilation to reduce angina attacks. Nurses should monitor for side effects like hypotension, bradycardia, and heart failure and educate patients about drug interactions and signs requiring medical attention.

Uploaded by

E
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd

INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)


Generic Trade Classification Dose Route Time/Frequency
Name Name antianginals 30-120mg PO 3-4 Times daily
antiarrhythmics 60-120mg PO twice daily as SR capsules
diltiazem (class IV) 180-240mg PO once daily as CD or XR capsules
antihypertensives up to 360mg PO LA tablets/day
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
2-3 hr 30 min 6-8 hr
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)


Hypertension Contraindications/warnings/interactions Hypersensitivity, Sick sinus
Angina pectoris and vasospastic (Prinzmetal's) angina syndrome, 2nd-3rd degree AV block (unless artificial pacemaker), BP<90mmHg,
Supraventricular tachyarrhythmias and rapid ventricular recent MI or pumonary congestion; concurrent use of rifampin; Use cautiously
rates in atrial flutter or fibrillation in: Severe hepatic impairment; Geriatric patients; severe renal impairment;
Unlabeled: Management of Raynaud's syndrome serious ventricular arrhythmias or CHF; pregnancy;lactation; or children
Common side effects dizziness; headache; cough; dyspnea; arrgythmias;
System vasocilation resulting in decreased blood pressure. CHF; peripheral edema; bradycardia; chest pain; hypotension; palpitations;
Coronary vasocilation resulting in decreased frequency and syncope; tachycardia; anemia; leukopenia; thrombocytopenia; weight gain;
severity of attack of angina muscle cramps; STEVENS-JOHNSON SYNDROME; gengival hyperplasia;
Suppression of arrhythmias nausea; vomiting;abnormal liver function; diarrhea; dry mouth; hyperglycemia
Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
fentanyl; antihypertensives; nitrates; alcohol; quinidine;
NSAIDs; digoxin; beta blockers; disopyramide; phenytoin;
phenobarbital; cyclosporine; carbamazepine; cimetidine; Be sure to teach the patient the following about this medication
ranitidine; lithium; theophylline. Monitor pulse- if <50bpm call doctor; if chest pain doesn't improve; worsens
after therapy, or occurs with diaphoresis; SOB; severe, persistent headache;
Exercise restrictions; weight reduction; low-sodium diet; smoking cessation;
alcohol; stress management; monitoring BP; OTC medications; good dental
hygiene; use of sunscreen; hypotension; drowsiness; dizziness.
Nursing Process - Assessment Assessment Evaluation
(Pre-administration assessment Why would you hold or not give Check after giving
Vital signs; monitor BP and pulse: monitor ECG; this med? decrease in BP
monitor intake/output; daily weight; assess bradycardia Decrease in frequency and severity of anginal
location, duration, intensity, and precipitating hypotension attacks:
factors of anginal pain; bradycardia; prolonged signs of CHF; peripheral edema; rales/ Decrease in need for nitrate therapy
hypotension crackles; dyspnea; weight gain; jugular Increase in activity tolerance
venous distention. Suppression and prevention of tachyarrhythmias

INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms)

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