greater ability to cope with manifestations in social and occupational interactions verbalizing feeling less anxious and more relaxed Provide fluids to maintain blood pressureĭepending on therapeutic intent, effectiveness is evidenced by: Monitor vital signs, maintain patient airway, Administer medication at bedtime, if possible Administer medication with meals or snacks if For oral toxicity, gastric lavage used followed byĪdministration of activated charcoal or saline Short term use due to risk for dependence -CNS depression: sedation, lightheaded, ataxia, decreased cognitive function -Retrograde amnesia -Toxicity -Paradoxical response: insomnia, excitation, euphoria, anxiety, rage -WIthdrawal effects: anxiety, diaphoresis, tremors -Generalized anxiety disorder and panic disorder -Other uses: seizure disorder, insomnia, muscle spasm, alcohol withdrawal (prevention and treatment for acute manifestations), induction of anesethesia, hyperarousal manifestaions of disscociative disorders Use cautiously in older clients and those with liver disease or history of substance Contrindicated in clients who have sleep apnea, respiratory depression or glaucoma Anticonvulsants and antihistamines can cause CNS depression -Grape fruit juice can reduce metabolism -high fat meals can reduce absorption Preoperative sedation - 0.02-0 mg/kg/dose -CNS depressants (alcohol, barbiturates, opiods) can result in respiratory depression. Mg/kg/dose (not to exceed 2 mg) q 4-8 hrs. PO (Geriatric Patients or Debillitated Patients):Īnxiety - 0-2 mg/day in divided doses initially. PO (Adults): Anxiety - 1-3 mg 2-3 times daily (up Short-term use recommended due to potential for dependence. Relief from anxiety occurs rapidly following administration. ACTIVE LEARNING TEMPLATES Medication STUDENT NAME _ MEDICATION _ REVIEW MODULE CHAPTER _ CATEGORY CL A SS _ ACTIVE LEARNING TEMPLATE: PURPOSE OF MEDICATION Expected Pharmacological Action Complications Contraindications/Precautions Interactions Medication Administration Evaluation of Medication Effectiveness Therapeutic Use Nursing Interventions Client Education Alliyah Mcbean Lorazepam (Ativan) Benzodiazepines Benzodiazepines enhance inhibitory effects of GABA.
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