Afib and Cardizem Drip: A Detailed Guide

Cardizem (diltiazem) is a calcium channel blocker often used to control rapid heart rates associated with atrial fibrillation (Afib). A Cardizem drip is administered intravenously to quickly manage a dangerously fast heart rate or to prepare for cardioversion.

Understanding the Cardizem Drip

Doctors carefully monitor patients receiving a Cardizem drip, continuously checking blood pressure and heart rate. The drip’s rate is adjusted based on the patient’s response. Hypotension (low blood pressure) and bradycardia (slow heart rate) are potential side effects requiring immediate attention. Close observation is crucial. Typical starting doses range from 5 to 15 mg/hour, adjusted according to patient needs. Always follow physician orders precisely.

Managing Potential Side Effects

Besides hypotension and bradycardia, dizziness, nausea, and headache are possible. Nurses immediately report any significant changes in vital signs or patient complaints. The drip can be slowed or stopped depending on the severity of the side effect. Post-drip management often involves transitioning to oral medications like Cardizem or other antiarrhythmics to maintain a stable rhythm.