Diltiazem (Cardizem) - CC Meds
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- Опубликовано: 28 июн 2024
- A discussion of the calcium channel blocker, Diltiazem aka Cardizem.
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NOTE: At 2:17 I accidentally said "Cardene" and meant "Cardizem/Diltiazem" (Thanks Malik for the catch)
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0:00 Intro
0:18 About
2:24 Indications/Contraindications
4:47 Adverse Effects
5:16 Dosing
7:11 Nursing considerations
8:26 Wrap up
#ICUAdvantage #Diltiazem #medications
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Eddie, I would love a series on post-operative nausea management if you can swing it. Managing, nutrition, electrolytes, hydration, pH, and meds is a huge challenge.
Awesome video, I'm a new grad, and had to use this medicine just this week to treat a patient with SVT. Med was used to lower HR just like explained, and the dosing was spot on.
New grad here. I'm about to get a patient from the ED and I've never ran this drip so it was good to see this video and get a quick overview of the drug, uses, and contraindications.
Thank you for these videos! I’m currently taking my critical care course in block 4 and I just passed our first exam after watching your videos on these meds and ventilators!
love how quick and informative this was. You pointed out all the great info we should know. thank you so so much!
Thank you so much Karen! Really glad you liked it and enjoy the format of the video 😊
Thank you John 14:6
thank you for this!!
Hey guys, could y'all do a video on Versed and Ativan too? Always wanted to know the different use cases for both. Thanks :)
I've got both on the todo list!
@@ICUAdvantage yes! I would like to see a good crash course on sedation
I do have a series in the ICU Drips playlist where I go over a bit about sedation.
@@ICUAdvantage found it! Awesome stuff, this channel has helped me more than you know!!!
In my experience cardizem is great for dropping tachycardia in pt not responsive or ineffectively responsive to beta blockers but I’m not a fan of it for anything else
I love your lessons!!!. You helped me ace my CCRN. I just noticed that at about 2:17 you said Cardene instead of Cardizem has effects blood pressure but primarily use is related to cardiac effects.
Ahhh I did totally slip up there! Good catch!
And congrats on the CCRN btw. Thats a huge accomplishment and glad I was able to help in sone way.
@@ICUAdvantage So it is for BP or cardiac ?
@@khalidawad5643 Cardene/Nicardipine for BP. Diltiazem/Cardizem for rate control.
Plz also make videos on extubation criteria
Got it on the todo list
I actually find the slower I push the Dilt, the better chance I have of the patient converting.
Since you have covered diltazem, I guess you should next cover verapamil.
Got it on the todo list!
Don’t forget Hyperkalemia for contraindications. You can 100% kill a hyperkalemic patient by trying to control their rhythm using any sort of channel blocker, the classic “clean kill” is Amiodarone but diltiazem would kill them as well.
You have more info on this? All I've seen or heard is in regards to when Diltiazem is used in conjunction with other medications specifically in renal patients. Would be interested to learn more about this.
@@ICUAdvantage I can’t link RUclips videos in the comments, but look up “Amal Mattu Clean Kill lecture.”
It’s short, about 8 minutes, and it discusses how anti-arrhythmic use can kill hyperkalemic patients presenting with certain rhythms that you might be tempted to treat with an anti-arrhythmic. Discusses proper treatment with sodium bicarbonate and Calcium Gluconate, and the results you’ll see on the EKG. And what happens when treated improperly.
@@HyperkalemiaSineWave thanks! I’ll check it out
@@ICUAdvantage I’m a huge fan of Doc Mattu. His lectures are very intuitive, and definitely motivated me to study cardiology deeper than what they taught me in paramedic school.
why is this contraindicated for Acute MI?
Taking 1.5 years 180mg for tachycardia from copd. Recently my heart area hurts, uncomfortable. ER saw nothing. Is this a side effect?
I’m a paramedic and we worry about giving this when the pt is hypotensive but, not too hypotensive or not where cardioversion is indicated. I noticed at 3 minutes in, you said it wouldn’t really effect a normotensive pt which is pretty cool ! But, would it have a negative effect on a slightly hypotensive pt? Or are we just being over cautious? Thanks
Great lesson. Do you consider to make these videos available as a video podcast e.g on apple or on Spotify?
Didn't know that was a thing. I may look into it.
@@ICUAdvantage would love a podcast version to listen to on the road
@@ICUAdvantage I'm writing the script for a podcast episode about Diltiazem. Can I site this video? Happy to provide links/reference in the show notes as well.
@@anniefulton1985 sure thing
Hi Eddie, Why this meds can't be used for more than 24hr? Thx
More than likely due to the effect on the av node and slowing of the heart and low BP. It's not a good idea to be in that state for so long?
So I can't find much good info on this other than stating it hadn't been studied past 24 hours and thus no recommendation can be made to continue past 24 hours. Same for doses > 15mg/hr.
I do know in animal studies larger doses (> 15 mg/hr) produced significant bradycardia due to large effects on the AV node. Im thinking there is the potential for such a thing with large cumulative doses such as going past 24 hours, but it was not studied so this is merely conjecture.
Lesson on electrolytes next pls < 3
I actually already have covered this some: ruclips.net/video/F88DVrHCizQ/видео.html
as well as: ruclips.net/video/LJai9zjFnTs/видео.html
Should I wean off dilt? Say I have a patient on 10mg of dilt gtt and their bp comes back at 85/60. Is it ok to just turn it off or should I go to 5mg for a couple of minutes then off?