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CARDIZEM DRIP PROFESSIONAL

Advise patient to avoid driving or other activities requiring alertness until response to the medication is known.

» Caution patient to change positions slowly to minimize orthostatic hypotension.

CARDIZEM DRIP PROFESSIONAL

Instruct patient to contact health care professional if heart rate is <50 bpm. » Instruct patient on correct technique for monitoring pulse. » Advise patient to avoid large amounts (6-8 glasses of grapefruit juice/day) during therapy. Take missed doses as soon as possible unless almost time for next dose do not double doses.

Advise patient to take medication as directed at the same time each day, even if feeling well.

Monitor BP and pulse before and frequently during administration. Emergency equipment and medication should be available. Report bradycardia or prolonged hypotension promptly.

Monitor ECG continuously during administration.

Assess location, duration, intensity, and precipitating factors of patient's anginal pain.

Discontinue therapy if severe or if accompanied with fever, general malaise, fatigue, muscle or joint aches, blisters, oral lesions, conjunctivitis, hepatitis and/or eosinophilia.

Assess for rash periodically during therapy.

» Patients receiving digoxin concurrently with calcium channel blockers should have routine serum digoxin levels checked and be monitored for signs and symptoms of digoxin toxicity. » Monitor frequency of prescription refills to determine adherence.

Assess for signs of HF (peripheral edema, rales/crackles, dyspnea, weight gain, jugular venous distention). » Monitor intake and output ratios and daily weight. Monitor ECG periodically during prolonged therapy. Monitor BP and pulse prior to therapy, during dose titration, and periodically during therapy.