Patient’s name: XX Date of admission:

Age: Chief Complaint:

Attending Physician: Dr. L Room: #:
Generic Brand Classification Mechanism of Indication Adverse effects/ Side Nursing
Name Name action effects Consideration
Valium Diazepam Pharmacotherapeutic Depresses all Relief of CNS: Drowsiness, Monitor for
: Benzodiazepine levels of CNS anxiety and fatigue, ataxia, therapeutic
2–10 mg (Schedule IV). by enhancing tension. confusion, paradoxic effectiveness.
PO action of rage, dizziness, vertigo,
Therapeutic Effect: gamma- amnesia, vivid dreams, Observe
Produces anxiolytic, aminobutyric headache, slurred patient closely
anticonvulsant, acid (GABA), a speech, tremor; EEG and monitor
sedative, muscle major inhibitory changes, tardive vital signs
relaxant, antiemetic neurotransmitter dyskinesia. when diazepam
effects. in the brain. is given
CV: Hypotension, parenterally;
tachycardia, edema, hypotension,
cardiovascular collapse muscular
weakness,
SpecSenses: Blurred tachycardia,
vision, diplopia, and respiratory
nystagmus. depression may
occur.
GI: Xerostomia, nausea,
constipation, hepatic Monitor lab
dysfunction. tests: Periodic
CBC and liver
Urogenital: function tests
Incontinence, urinary during
retention, gynecomastia prolonged
(prolonged use), therapy.
menstrual irregularities,
ovulation failure. Supervise
ambulation.
Respiratory: Hiccups,
coughing, Monitor
laryngospasm. adverse
reactions such
as drowsiness
and ataxia are
more likely to
occur in older
adults and
debilitated or
those receiving
larger doses.
Dosage
adjustment
may be
necessary.

Monitor I&O
ratio, including
urinary and
bowel
elimination.

Avoid alcohol
and other CNS
depressants
during therapy
unless
otherwise
advised by
physician.
 Concomitant
use of these
agents can
cause severe
drowsiness,
respiratory
depression, and
apnea.

Reference:
Saunders Nursing Drug Handbook 2019