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DATE MECHANIS
NAME OF DOSAGE INDICA- CONTRAINDICA- SIDE CLIENT’S NURSING
ADMINIS M OF
DRUG AND FRE- TION TION EFFECTS RESPONSE RESPONSIBILITIES
-TERED ACTION
QUENCY
Generic May 35, Zolpidem 5 Enhances Short- Hypersensitivity to Occasional The client’s Before Administration:
Name: 2021 mg IVP action ofterm zolpidem. (7%): sleep-rest Check the doctor’s
zolpidem PRN for inhibitory treatment Headache pattern was order.
insomnia at neuro- of Cautions: Change in improved; Observe for the 12
Brand Name: HS transmitter insomnia. Hepatic appetite. he was able rights of drug
Dormizol gamma- impairment to freely rest administration.
aminobutyric Patients with Rare (less than and sleep Assess B/P, pulse,
Classification: acid (GABA). depression 2%): well. respirations, mental
Pharmaco- History of drug Dizziness status, sleep patterns.
therapeutic: Therapeutic dependence Nausea Raise bed rails, provide
Hypnotic Effect: Sleep apnea Diarrhea call light.
Induces COPD Muscle pain Provide environment
Clinical: sleep with conducive to sleep
Respiratory disease Sleepwalking
Sedative- fewer nightly (back rub, quiet
Myasthenia gravis
hypnotic awakenings, environment, low
Debilitated patients
improves sleep lighting).
Elderly
Pregnancy quality. Do not give unless a
Category: C full night of sleep is
planned.
During Administration:
Administer 5 mg via
intravenous push as
needed at hour of
sleep.
After Administration:
Monitor sleep pattern
of client.
Evaluate for
therapeutic response to
insomnia:
o Decrease in number
of nocturnal
awakenings.
o Increase in length
of sleep.
Monitor daytime
alertness, respiratory
rate, behavior profile.
Client/Family
Education:
Avoid alcohol and
tasks that require
alertness, motor skills
until response to drug
is established.
Do not take unless a
full 8 hours of sleep is
planned.