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Benzodiazepines
anxiety & Trauma & stressor related disorder meds
| Question | Answer |
|---|---|
| Benzodiazepines: diazepam, lorazepam, chlordiazepoxide, chlorazepate, oxazepam, clonazepam | TX: generalized anxiety disorder (GAD), PTSD, muscle spasm, insomnia, seizure disorders, alcohol withdrawal, induction of anesthesia |
| complications of Benzodiazepines: CNS depressant | sedation, light headedness, ataxia, decreased cognitive function. Teach: report to HCP, avoid activities requiring alertness, avoid alcohol and other antianxiety meds can lead to respiratory depression. |
| complications of Benzodiazepines: Anterograde amnesia | difficulty recalling events that occur after dosing. teach: report to HCP |
| complications of Benzodiazephines: toxicity | drowsiness, lethargy, confusion IV toxicity: resp. depr, severe hypotsn, or cardiac/resp. arrest. RN considerations: for oral toxicity, use gastric lavage, followed by activated charcoal or saline cathartics. adm, flumazenil. Have resuscitatio |
| complications of benzodiazephines: paradoxical response | insomnia, excitation, euphoria, anxiety, rage. notify HCP |
| complications of benzodiazephines: withdrawal effects | anxiety, insomnia, diaphoresis, tremors, lightheadedness, delirium, htn, muscle twitching, seizures client edu: withdrawal effects are common w/short term use. for client who use med long/term, taper over several weeks. |
| contraindications of benzodiazephines | preg cat. D - don't give to pregnant or lactating women These meds are control substance. caution w/older adults, client w/liver disease or w/hx of mental illness or a substance use disorder. Med should be used short term d/t risk of dependency. |
| Interactions w/benzodiazephines | CNS depressant: avoid alcohol, barbiturates, opioids d/t resp. dep. avoid anticonvulsants, antihistamines d/t increases CNS depression grapefruit juice can reduce metabolism high-fat meals can reduce absorption |
| RN administration for benzodiazephines | take med as prescribed, w/meals or snacks, at bedtime taper dose over several weeks notify HCP for withdrawal effects keep med in a secure place d/t their potential for abuse |
Created by:
gdimanche
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