History: Allergy to diltiazem, impaired hepatic or renal function, sick sinus syndrome, heart block, lactation, pregnancy; Physical: Skin lesions, color, edema; P, BP, baseline ECG, peripheral perfusion, auscultation; R
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Diltiazem acts primarily in the arterial resistance vessels and is also metabolized in the liver, but little data are available on its pharmacodynamics
1 Agents Known to Impair Cardiac Contractility and Conduction - Using other agents known to affect cardiac conduction or contractility
Chlorpromazine and other phenothiazine can cause severe hypotension when used with diltiazem
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Matzim LA (diltiazem hydrochloride) extended-release tablets may be used alone or in combination with other antihypertensive medications
Once you grasp this, there is no need for memorization of the nursing implications, side effects, patient education, or what these medications are used for because it will make complete sense
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Diltiazem does prove to be an effective antihypertensive agent in black patients with its blood pres sure lowering effect equivalent to hydro chlorathiazide (Moser, Lunn, & Materson, 1985)
including increased patient comfort and decreased utilization of physician, nursing and
Nursing Interventions
Concurrent use of diltiazem with other cardiovascular drugs, particularly digoxin or beta-adrenergic blockers may cause partial or complete heart It belongs to the benzothiazepine group of calcium channel blockers
Cardizem side effects Get emergency medical help if you have signs of an allergic reaction to Cardizem (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction ( fever , sore throat , burning eyes, skin pain, red or purple skin rash with Diltiazem
The extended-release capsule and tablet are usually taken one or two times a day
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Nursing Assessment
The nursing diagnosis will be revised and updated as the patient’s condition changes and evolves
This is because the body makes most cholesterol at
History: Allergy to beta-blocking agents, sinus bradycardia, second- or third-degree heart block, cardiogenic shock, Interventions
Damage to the organs may cause many conditions such as heart attacks, kidney BRand name
Inhibits transport of calcium into myocardial and vascular smooth muscle cells
Initial dose, 10 mg/day PO
Acute MI: Start within 24 hr of MI with 5 mg PO followed in 24 hr by 5 mg PO; 10 Nursing interventions