Diltiazem
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| Class | Calcium channel blocker, calcium antagonist
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| Brand Name | Cardizem
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| onset | IV-immediately
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| Indication | rapid ventricular rate associated with A-fib and A-flutter and for PSVT refractory to adenosine
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| Contraindication | Hypotension, acute MI, cardiogenic shock, VT or wide complex VT of unknown origin,2nd or 3rd AV block, WPW syndrome, Sick sinus syndrome Beta Blocker use
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| Adverse Reaction/Side Effect | CV: Hypotension, bradycardia, heart block, chest pain, chest pain, and asytole GI: nausea and vommiting. CNS: headache, fatigue, drowsiness
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| Adult Dose | Initial: 0.25mg/kg IVP (usually 20mg)admin over 2 min, if response inadiquate, repeat in 15 min :0.35 mg/kg IVP over 2 min. Maintenance infusion:5.0 to 15mg/hr
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| Pediatric Dose | The safety and efficacy of this drug for use on children has not been established.
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