NURS 1566 Clinical Form 3: Clinical Medications Worksheets Generic Trade Classification Dose Route Time/frequency Name

Name Anesthetic 0.25mgIVP Q 8 hr Lorazepam Ativan adjuncts 0.13 mL Antianxiety agent Sedative/hypnotics Peak Onset Duration Normal dosage range 15-20 min 15-30 min 8-12hr Up to 2 mg q 4 hr prn anxiety/sedation Rate of administration: Administer direct IV, through Y-site at rate of 2 mg over 1 min, or 0.05 mg/kg over 2-5 min. Rapid IV administration may result in apnea, hypotension, bradycardia, or cardiac arrest. Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions Treatment of anxiety. Help with sedation Sterile water, D5W, or 0.9% NaCl for injection. Mechanism of action and indications Depresses the CNS, probably by potentiating GABA, an inhibitory neurotransmitter. Therapeutic Effects: Sedation. Decreases anxiety. Decreased Seizures Nursing Implications (what to focus on) Hypersensitivity. Cross sensitivity with other benzodiazepines may exist. Comatose patients or those with pre-existing CNS depression. Uncontrolled sever pain. Narrow-angle glaucoma. Sever hypotension. USE CAUTIOUSLY IN: Sever hepatic/renal/pulmonary impairment. Lower doses recommended for geriatric or debilitated patients Common side effects CNS: dizziness, drowsiness, lethargy, hangover headache, mental depression, paradoxical excitation. EENT: blurred vision. RESP: respiratory depression. CV: Rapid IV use only—apnea, cardiac arrest; bradycardia, hypotension. GI: constipation, diarrhea, nausea, vomiting. DERM: rashes. MISC: Physical dependence, psychological dependence, tolerance. Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Patients on high-dose therapy should receive routine Other CNS depressants. evaluation of renal, hepatic, and hematologic function Be sure to teach the patient the following about this medication Abrupt withdrawal may cause tremors, nausea, vomiting, and abdominal cramps. May cause drowsiness or dizziness. Increases risk for falls. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Assess degree and manifestations of med? Improvement in sleep anxiety. Assess for physical and Bradycardia patterns. psychological dependence. Assess vital signs.

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