Diltiazem

(Cardizem)

 

GCEMS Protocol:

  • Narrow Complex Tachycardia

 

Indications:

  • Rate control in refractory atrial fibrillation and SVT

 

Contraindications:

  • Concurrent or recent use of beta blockers

 

Side Effects:

  • Hypotension, heart block

 

Adult:

  • 20 mg IV/IO over 2 minutes if systolic BP > 90 mmHG
  • if uncontrolled after 15 minutes from initial dose, administer 25 mg IV/IO over 2 minutes if systolic BP > 90 mmHG