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Diltiazem - ATI Medication template
Course: Pharmacology (23261)
40 Documents
Students shared 40 documents in this course
University: South Texas College
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ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A7
Medication
STUDENT NAME _____________________________________
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
CATEGORY CL ASS ______________________________________________________________________
ACTIVE LEARNING TEMPLATE:
PURPOSE OF MEDICATION
Expected Pharmacological Action
Complications
Contraindications/Precautions
Interactions
Medication Administration
Evaluation of Medication Effectiveness
Therapeutic Use
Nursing Interventions
Client Education
Kyla Ouellette
Diltiazem
23
Anitdysrhythmic medications (Calcium channel blockers)
- decrease force of contraction
- decrease heart rate
slow rate of conduction through the SA and
AV nodes
- PO 30-120mg 3-4 times/day
- SR 180-240
- LA up to 360 mg/day
- concurrent use of alcohol, esmolol, or propranolol
- beta blockers can cause heart failure, AV block, and
bradycardia
- grapefruit juice
- Pregnancy Risk C
- clients who have greater than first degree AV block, severe heart failure, and severe
hypotension
- IV form contraindicated in ventricular tachycardia and for clients taking beta blockers
- caution those who have liver or kidney dysfunction, heart failure, hypotension, or are
taking digoxin or beta blockers
- caution in eldery patients
- bradycardia, hypotension, heart failure, AV block,
constipation, peripheral edema
- control ventricular rate in atrial fibrillation and flutter
- SVT
- hypertension
- angina pectoris
- monitor ECG and BP
- monitor renal and hepatic
functions
- monitor daily weight
- decrease in BP
- take as prescribed
- avoid hazardous activities
- change position slowly
- notify provider for peripheral
edema, chest pain, or shortness
of breath