NIHI Med Form 1.doc - MEDICATION FORM Name of Medication a...

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MEDICATION FORM Name of Medication a. Classification b. Generic c. Trade Dosage Route Frequenc y Reason Patient Receiving Drug Pertinent Nursing Implications Pertinent Side Effects Significant Drug/Food Interactions A. Benzodiazepine 1. B. Diazepam 1. C. Valium PO (Adults): 2– 10 mg 2– 4 times daily. IM, IV (Adults): 2– 10 mg, may repeat in 3– 4 hr as needed. PO (Children 6 mo): 1– 2.5 mg 3– 4 times daily. IM, IV (Children 1 mo): 0.04– 0.3 mg/kg/dos e q 2– 4 hr to a maximum of 0.6 mg/kg within an 8 hr period if necessary Relief of anxiety. Sedation. Amnesia. Skeletal muscle relaxation. Decreased seizure activity Patient should be kept on bedrest and observed for at least 3 hr following parenteral administration. If opioid analgesics are used concurrently with parenteral diazepam, decrease opioid dose by 1/3 and titrate dose to effect Use lowest effective dose. Taper by 2 mg every 3 days to decrease withdrawal symptoms. Some patients may require longer taper periods (mos). Tablets may be crushed and taken with food or water if patient has difficulty swallowing. Mix Intensol preparation with liquid or semisolid food such as water, juices, soda, applesauce, or pudding. Administer entire amount immediately. Do not store. IM injections are painful and erratically absorbed. If IM route is used, inject deeply into deltoid muscle for maximum absorption. CNS: dizziness, drowsiness, lethargy, depression, hangover, ataxia, slurred speech, headache, paradoxical excitation. Resp: RESPIRATORY DEPRESSION. CV: hypotension (IV only). GI: constipation, diarrhea (may be caused by propylene glycol content in oral solution), nausea, vomiting, weight gain. Alcohol, antidepressants, antihistamines, and opioid analgesics— concurrent use results in additive CNS depression. Cimetidine, hormonal contraceptives, disulfiram, fluoxetine, isoniazid, ketoconazole, metoprolol, propranolol, orvalproic acid may decrease the metabolism of diazepam, enhancing its actions. A. hydantoins__ 1. B. _ Phenytoin 1. C. _ (Dilantin) PO 2–24 hr (1 wk)* 1.5–3 hr 6–12 hr PO-ER 2–24 hr (1 Diminished seizure activity.
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  • Fall '15
  • Sandra Rodriguez
  • Phenytoin

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