DRUG NAME ROUTE/DOSAGE ACTION SIDE EFFECTS NURSING CONSIDERATION

Generic Name: Route: *Depress the CNS, - CNS  Monitor BP, PR, RR prior to
Diazepam IM probably by :1) dizziness periodically throughout therapy and
Brand Name: Dosage: potentiating GABA, an 2) drowsiness frequently during IV therapy.
Valium 10mg inhibitory 3) lethargy  Assess IV site frequently during
Indication for the Frequency: neurotransmitter. 4) hangover administration, diazepam may
Patient: As needed * Produces skeletal 5) headache cause phlebitis and venous
Adjunct in the muscle relaxation by 6) depression- thrombosis.
management of: inhibiting spinal EENT:  Prolonged high-dose therapy may
1) Anxiety polysynaptic afferent 1) blurred vision- lead to psychological or physical
2) Preoperative pathways. RESP: dependence. Restrict amount of
sedation * Has anticonvulsant 1) respiratory drug available to patient. Observe
3) Conscious sedation properties due to depression- depressed patients closely for
* Provides light enhanced presynaptic CV suicidal tendencies.
anesthesia and inhibition. :1) hypotension-  Observe and record intensity,
anterograde amnesia Therapeutic effects: GI: duration and location of seizure
* Treatment of status (1) Relief of Anxiety 1) constipation activity. The initial dose of diazepam
epilepticus/ (2) Sedation 2) diarrhea offers seizure control for 15-20 min
uncontrolled seizures (3) Amnesia 3) nausea after administration.
* Skeletal muscle (4) Skeletal muscle 4) vomiting-  IM injections are painful and
relaxant *Management relaxant DERM: erratically absorbed. If IM route is
of the symptoms of (5) Decreased seizure 1) rashes used, inject deeply into deltoid
alcohol withdrawal activity - LOCAL: muscle for maximum absorption.
Classification: 1) pain (IM)  Caution patient to avoid taking
Antianxiety agents, 2) phlebitis (IV) alcohol or other CNS depressants
anticonvulsants, 3) venous thrombosis concurrently with this medication.
sedative/hyptonics, - MISC:  Effectiveness of therapy can be
skeletal muscle 1) physical & demonstrated by decrease anxiety
relaxants psychological level; control of seizures; decreased
dependence tremulousness.
2)tolerance