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<font size=3>At 06:03 AM 8/22/2006, you wrote:<br>
<blockquote type=cite class=cite cite="">Seeking information on
experience/outcome giving Cardizem(Diltiazem) to<br>
hypotensive patient. </font></blockquote><br>
Generally a bad idea - the rest of the BP tends to go away.<br>
If you some reason you are convinced it is absolutely strictly a cardiac
rhythm problem - MAYBE, if the patient is well perfused at a low
"number".<br>
With an SBP of 50, I wouldn't even consider it. <br>
IF one truly believes the hypotension is from the rhythm, cardioversion
is the appropriate approach.<br>
I don't believe I would ever define a systolic < 60 as
"stable". <br>
The first thing I would do, in most situations is get the BP up, based on
the underlying pathology.<br>
If this is really a rhythm related issue, then I would shock it.<br><br>
Diltiazem is great (certainly better than most other options) drug for
SVT, but you need enough BP to use it. <br><br>
Lorick<br><br>
<br>
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