Valium

  • June 2020
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NURS 2516 Clinical Medications Worksheets Generic Name Trade Name Diazepam Valium Peak 15-30 min

Onset 1-5 min

Classification Dose Route Time/frequency Antianxiet, anticonvulsants, 1-2 mg IV Push Every 2 hours, prn sedative/hypnotics muscle relaxants Duration For IV meds, compatibility with IV drips and /or 15-60 min solutions Do not mix with IV Drips or solutions.

Mechanism of action and indications (Why med ordered) Management of anxiety, preoperative sedation, conscious sedation, provides light anesthesia and anterograde amnesia, tx of status epilepticus. Skeletal muscle relaxant. Management of the symptoms of alcohol withdrawal.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Benzodiazepines. Comatose patients. Pre-existing CNS depression, uncontrolled severe pain. Pregnancy or lactation Common side effects Dizziness,drowsiness, lethargy, depression, hangover, headache, paradoxical excitation, blurred vision, respiratory depression, hypotension, constipation, diarrhea, nausea, vomiting, rashes, phlebitis, venous thrombosis, physical dependence, psychological dependence, tolerance. Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Hepatic and renal function and CBC should be evaluated Alcohol, antidepressants, antihistamines, and apioid periodically throughout course of prolonged therapy. analgesics. hormonal contraceptives, are something’s the Be sure to teach the patient the following about this patient maybe taking at home to watch out for. medication Take meds as directed do not increase dose without talking to the Dr. Abrupt withdrawal may cause insomnia, unusual irritability or nervousness, and seizures. Do not share this Med. May cause drowsiness, clumsiness, or unsteadiness. Do not take alcohol or other CNS depressants. Notify health care professional If pregnancy is suspected or planned. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this med? Check after giving

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