NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Diazepam Valium
Peak 15-30 min
Onset 1-5 min
Classification Dose Route Time/frequency Antianxiet, 1-2 mg IV Push Every 2-4 hours prn anxiety anticonvulsants, sedative/hypnotics muscle relaxants Duration For IV meds, compatibility with IV drips and /or solutions 15-60 min 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. Cimetidine, hormonal contraceptives, Be sure to teach the patient the following about this disulfiram, fluoxetine, isoniazid, ketoconazole, medication metoprolol, propoxyphene, propranolol, or valproic acid. 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 Check after giving med?