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Maintenance dose: 240 to 360 mg orally once a day. 35 mg/kg body weight, or placebo in a double-blind, randomized study The initial dose of adenosine is 6 mg IV bolus (flushed), using a large vein. Extended Release Coated Capsules: Initial dose: 180 to 240 mg orally once a day, increasing the dose as needed. The most frequent adverse response to diltiazem was hypotension (7 of 63 patients); however, only 4 patients had symptoms related to hypotension. 2 mg/kg, (max second dose is 12 mg) Concentration 6 mg/2 ml Vial Route of Administration Rapid IV/IO bolus (administered over a 1-2 second period) followed by 20 ml saline flush. - (3) If HR remains greater than 120 Beats Per Minute after the second bolus, notify MD. Subsequent doses of 12 mg or even 18 mg boluses may be required. 1 mg/kg, (max first dose is 6mg), second dose 0. 45 mg/kg is an effective and safe treatment for the acute management of SVT. Initial dose: 120 to 240 mg orally once a day, increasing the dose as needed. Thus, intravenous diltiazem in doses of 0. - (2) 10 minutes after initial bolus, if HR still greater than 120 and SBP greater than 100, repeat bolus 20 mg. 35 mg/kg IV (over 2 minutes), if needed. Five minutes after the bolus, the patient converts to sinus tachycardia while maintaining his blood pressure. 35 mg/kg body weight, or placebo in a double-blind, randomized study. B) Infusion rate - (1 ) Begin infusion rate at 10 mg/hour drip immediately after initial bolus Cardizem Diltiazem Hydrochloride (Cardizem) CLASS Calcium Channel Blocker or calcium antagonist DOSAGE Adult: 0. 25 mg/kg (usual adult dose, 20 mg) direct IV over 2 minutes; after 15 minutes, may repeat bolus by administering 0. 25 mg/kg, ranging between 10-20 mg over 2 minutes, with a second dose of 0. 35 mg/kg actual body weight over 2 min (average adult dose, 25 mg) direct IV if first dose tolerated but response inadequate; some clinicians suggest additional doses q15min. Repeat dose: If initial dose fails to eliminate supraventricular tachycardia within 1 to 2 minutes, repeat at incrementally higher doses, increasing by 0. Publication types Clinical Trial Comparative Study Multicenter Study. 2 mg/kg ideal body weight), and then an infusion was started at 5 or 10 mg/hr and increased up to 30 mg/hr, as needed, to decrease heart rate to 110 after 2 hours from 1st oral dose. 50 KG OR MORE: Initial dose: 6 mg IV bolus over 1 to 2 seconds Adult Tachycardia/SVT: 6 mg, second dose 12 mg Pediatric Tachycardia/SVT: 0. Use weight-based dosing for lower-body-weight patients. Although individual patients may respond to any dosage level, the average optimum dosage range appears to be 180 to 360 mg/day DOI: 10. B) Infusion rate - (1 ) Begin infusion rate at 10 mg/hour drip immediately after initial bolus 0. On his way out, he thanks you for not making him “feel lousy”. 1 mg/kg IV bolus over 1 to 2 seconds. 1 mg/kg, until sinus rhythm or maximum single dose attained. Maximum dose: 480 mg/day Digoxin Usually, these medications are taken daily, and take approximately 10-20 minutes to act. Dose and Administration Although dosages may vary based on physician orders, protocols and age, a standard initial dose is 0. 35 mg/kg, ranging between 20-25 mg over 2 minutes, often followed by a 5-10 mg/hr infusion To assess the efficacy and safety of intravenous diltiazem, 54 patients with inducible sustained supraventricular tachycardia received diltiazem, 0. 1016/0735-1097 (89)90589-5 Abstract To assess the efficacy and safety of intravenous diltiazem, 54 patients with inducible sustained supraventricular tachycardia received diltiazem, 0. Medication for longer episodes of SVT For patients who have longer episodes of supraventricular tachycardia, a quick-acting version of one of these three medications may be given As your infusion pumps are not programmed to administer diltiazem by slow infusion, you feel safer administering a 0. SVT resolution following adenosine administration establishes AVNRT or AVRT as the likely SVT mechanism, although occasionally some focal atrial tachycardias will terminate with adenosine as well Intravenous diltiazem was administered as a slow 10-mg bolus dose (0. Twenty patients had atrioventricular (AV) no …. Maintenance dose: 120 to 540 mg orally once a day. Adult Tachycardia/SVT: 6 mg, second dose 12 mg Pediatric Tachycardia/SVT: 0.

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