Collins M.

Consolacion 203061
Drug name Indication Contraindication Adverse reaction Nursing management
Clonazepam  All types of  Hyper-  Drossiness Monitoring
Benzodiazepines Epilepsy and sensitivity  Sedation  Clonazepam serum level (0.02 to
(also called Seizures  Acute narrow  Muscle 0.07 to 0.07 mg/dl) in patient with
“benzos”) are a class  Myoclonus and angle glaucoma weakness seizure disorder
of agents that work associated  Acute  Ataxia  Seizure disorder – decrease in
in the central abnormal pulmonary  Paradoxical frequency, severity, and duration of
nervous system and movements insufficiency excitation seizure indicates efficiency
are used for a  Panic disorders  Myasthenia leading to  Blood counts, liver function test,
variety of medical  Status gravis aggression and respiratory depression
conditions epilepticus  CNS depression disinhibition  Respiratory depression or sedation –
(Anti-epileptic, or coma  Physical or in patient using concomitant opioids
Anxiolytic, Anti-  Respiratory psychological  Elderly patient: confusion or over
convulsant, and depression dependence sedation
CNS depressant)  Sleep apnea can lead to  Emergence or worsening of
 Pregnancy withdrawal if depression, suicidal thoughts or
suddenly stops behavior or any unusual changes in
(s/sx: HTN, mood
tachycardia, Education
tremulousness,  Missed dose – educate to take the
seizures, low dose as soon as they remember, if it
grade fever, is almost time for the next dose wait
and severe until then and take a regular dose
cases delirium) (do not take extra medicine to make
up for a missed dose)
 Do not drink alcohol while using this
medicine
 Do not stop this medication abruptly
 Take it at bed time (may cause
drowsiness or dizziness)
 Do not drive or operate heavy
machinery