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As illustrated above, clinicians(MDs, DOs, NPs, PAs), specialists, nurses, pharmacists, and other healthcare providers are involved in taking care of the patient. Obtain the latest information by contacting the poison control center(80) in the United States. IABP insertion requires cardiac consultation. Critical care physician supervision is necessary for severe hypotension and cardiac failure. In overdose, triage nurses and emergency department physicians should quickly stabilize the patient. For example, Diltiazem is available in many brand names with differing recommended dosages and differing maximum daily dosesThis vigilance will limit possible drug interactions. Nursing staff should monitor for clinical improvement and any adverse drug reaction and inform the clinicians in case of any inconsistency. Pharmacists, nurses, and other providers should also check for potential drug interactions with other medications of the patient's profile. Double-checking doses can help ensure the patient receives appropriate therapeutic management in inpatient and outpatient settings. For example, one common error with diltiazem therapy is an incorrect dose administered to the patient. Ideally, Clinicians should verify drug, dose, and patient factors before administration. These factors highlight the importance of avoiding diltiazem in heart failure patients, especially in the elderly, due to drug interactions and heart failure exacerbation. Diltiazem possesses negative inotropic effects and is generally avoided in patients with congestive heart failure, and diltiazem is also on the Beers Criteria. Proper dosage and frequency are essential to enhance patient care and improve outcomes. ĭiltiazem has been widely used in practice for many clinical indications. If a patient is controlled on diltiazem to treat hypertrophic cardiomyopathy, diltiazem therapy may continue, but additional fetal monitoring is required. Continuous blood pressure and ECG monitoring are necessary during the bolus administration.įor the treatment of hypertension during pregnancy, recommendations state to use an alternative agent as diltiazem has shown adverse fetal effects in animal studies. When treating arrhythmias, an IV bolus is administered over two minutes.
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In contrast, subjective findings, such as a patient's frequency and severity of chest pain, are used to evaluate efficacy when treating chronic angina.Ī complete blood count (CBC) lab test is also performed at baseline to track potential changes in electrolytes and kidney and liver function.Īdditional monitoring is required when using diltiazem parenterally. When treating hypertension and arrhythmias, objective findings serve to assess the efficacy of therapy. Therapeutic monitoring includes periodic assessments of blood pressure, heart rate, and electrocardiograms.