Care Plans
Heart Failure
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BENZODIAZEPINES |
|
GENERIC NAME |
Diazepam “PAM/LAM” |
NCLEX TIP To lower risk of withdrawal symptoms (insomnia, tremors, irritability, seizures) with benzodiazepines, taper over 2-6 wks. |
|
BRAND NAME |
Valium |
|
|
PHARMACOLOGIC CLASS |
Benzodiazepine |
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INDICATIONS |
MECHANISM OF ACION |
|
Anxiety Disorder, Acute Stress Disorder, Seizures, Insomnia, Alcohol Withdrawal, Muscle Spasms |
Enhance the effects of GABA, calming neurotransmitter, to depress the CNS and suppress anxiety and seizure activity. |
|
ADVERSE EFFECTS |
CONTRAINDICATIONS |
INTERACTIONS |
|
A benzodiazepine can cause CNS depression but also be AWARE that there is a risk of acute toxicity. A: Amnesia W: Withdrawal Effects (insomnia, anxiety, tremors) A: Anxiety (Paradoxical response) R: Respiratory Depression E: Excessive Fatigue (sedation) |
Pregnancy, Sleep Apnea, Respiratory Depression, Glaucoma, Older Adults, Liver Disease |
Opioids = ⬆ risk of Respiratory Depression Alcohol = ⬆ CNS effects |
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NURSING INTERVENTIONS & PATIENT EDUCATION |
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-Antidote: Flumazenil -Risk of Addiction -Black Box Warning: do not combine with opioids or alcohol due to risk of CNS/Respiratory Depression |
No insights found
|
BENZODIAZEPINES |
|
GENERIC NAME |
Diazepam “PAM/LAM” |
NCLEX TIP To lower risk of withdrawal symptoms (insomnia, tremors, irritability, seizures) with benzodiazepines, taper over 2-6 wks. |
|
BRAND NAME |
Valium |
|
|
PHARMACOLOGIC CLASS |
Benzodiazepine |
|
INDICATIONS |
MECHANISM OF ACION |
|
Anxiety Disorder, Acute Stress Disorder, Seizures, Insomnia, Alcohol Withdrawal, Muscle Spasms |
Enhance the effects of GABA, calming neurotransmitter, to depress the CNS and suppress anxiety and seizure activity. |
|
ADVERSE EFFECTS |
CONTRAINDICATIONS |
INTERACTIONS |
|
A benzodiazepine can cause CNS depression but also be AWARE that there is a risk of acute toxicity. A: Amnesia W: Withdrawal Effects (insomnia, anxiety, tremors) A: Anxiety (Paradoxical response) R: Respiratory Depression E: Excessive Fatigue (sedation) |
Pregnancy, Sleep Apnea, Respiratory Depression, Glaucoma, Older Adults, Liver Disease |
Opioids = ⬆ risk of Respiratory Depression Alcohol = ⬆ CNS effects |
|
NURSING INTERVENTIONS & PATIENT EDUCATION |
|
-Antidote: Flumazenil -Risk of Addiction -Black Box Warning: do not combine with opioids or alcohol due to risk of CNS/Respiratory Depression |
No insights found