What should be done if hypotension develops after Cardizem administration?

When hypotension develops after the administration of Cardizem (diltiazem), the appropriate response is to administer Normal Saline and Calcium Chloride. Cardizem is a calcium channel blocker that can lead to vasodilation and hypotension as a result of its effects on the cardiovascular system.

By administering Normal Saline, you are providing volume expansion to help counteract the drop in blood pressure. The saline will help restore the circulating blood volume and improve hemodynamics. Adding Calcium Chloride is also beneficial because it may help counteract the effects of calcium channel blockade induced by Cardizem and stabilize cardiac function, thereby addressing the hypotensive state more effectively.

Elevating the patient's legs and monitoring vital signs can be an adjunctive measure, but it does not actively address the underlying issue of hypotension as effectively as the fluids and calcium can. Similarly, while Atropine can be used in certain types of bradycardia, it is not indicated for managing hypotension specifically related to the effects of Cardizem.