DILTIAZEM

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(dil-tye’a-zem)
Cardizem, Cardizem CD, Cardizem LA, Cardizem SR, Cardizem Lyo-Ject, Cartia XT, Dilacor XR, Tiamate, Tiazac, Taztia XT
DILTIAZEM IV
Cardizem IV
Classifications: cardiovascular agent; calcium channel blocking agent; antihypertensive
Prototype: Verapamil
Pregnancy Category: C

NURSING IMPLICATIONS

Assessment & Drug Effects

• Check BP and ECG before initiation of therapy and monitor particularly during dosage adjustment period.
• Lab tests: Do baseline and periodic liver and renal function tests.
• Monitor for and report S&S of CHF.
• Monitor for headache. An analgesic may be required.
• Supervise ambulation as indicated.

Patient & Family Education

• Make position changes slowly and in stages; light-headedness and dizziness (hypotension) are possible.
• Do not drive or engage in other potentially hazardous activities until reaction to drug is known.
• Keep follow-up appointments and physician informed.
• Do not breast feed while taking this drug without consulting physician.

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• AMLODIPINE (am-lo’di-peen) Norvasc Classifications: cardiovascular agent; calcium channel blocker; antihypertensive agent Prototype: Nifedipine Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Monitor BP for therapeutic effectiveness. BP reduction is greatest after peak levels of amlodipine are achieved 6–9 h following oral doses. Monitor for S&S of dose-related peripheral
• ISOSORBIDE DINITRATE (eye-soe-sor’bide) Coronex , Dilatrate-SR, Iso-Bid, Isordil, Isotrate, Novosorbide , Sorbitrate, Sorbitrate SA Classifications: cardiovascular agent; nitrate vasodilator Prototype: Nitroglycerin Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Monitor effectiveness of drug in relieving angina. Note: Headaches tend to decrease in intensity and frequency with continued therapy but may require
• ISOSORBIDE DINITRATE (eye-soe-sor’bide) Coronex , Dilatrate-SR, Iso-Bid, Isordil, Isotrate, Novosorbide , Sorbitrate, Sorbitrate SA Classifications: cardiovascular agent; nitrate vasodilator Prototype: Nitroglycerin Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Monitor effectiveness of drug in relieving angina. Note: Headaches tend to decrease in intensity and frequency with continued therapy but may require
• MEFENAMIC ACID (me-fe-nam’ik) Ponstan, Ponstel Classifications: central nervous system agent; analgesic; nsaid; antipyretic Prototype: Ibuprofen Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Assess patients who develop severe diarrhea and vomiting for dehydration and electrolyte imbalance. Lab tests: With long-term therapy (not recommended) obtain periodic complete blood counts, Hct and
• VALSARTAN (val-sar’tan) Diovan Classifications: cardiovascular agent; angiotensin ii-receptor (type at1) antagonist; antihypertensive Prototype: Losartan Pregnancy Category: C (first trimester); D (second and third trimesters)   NURSING IMPLICATIONS Assessment & Drug Effects Monitor BP periodically; take trough readings, just prior to the next scheduled dose, when possible. Lab tests: Monitor liver function tests, BUN and creatinine,