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12 Cards in this Set
- Front
- Back
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trade name
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valium
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classification
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anticonvulsant, sedative, benzodiazepine
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action
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depresses the central nervous system, relaxes skeletal muscles, decreases patient recall (amnesic effect), supresses seizure activity
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indications
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seizures (status epilepticus)
sedation prior to: -synchronized cardioversion -transcutaneous pacing -advanced airway placement (RSI, NT) Organophosphate poisoning |
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contraindications
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shock/ hypotension
head injury acute alcohol intoxication |
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adverse effects
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cardiovascular: tachycardia, hypotension, bradycardia
respiratory: apnea, depression neurological: slurred speech, dizziness, drowsiness, blurred vision, confusion |
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administration
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seizure activity: 5-10mg slow IV/IO @ 5mg/minute. (titrate to supress seizure activity) maximum of 20mg.
sedation: 5-15mg IV (titrate to adequate sedation) maximum of 20mg anxiety: 2-5mg IM. maximum of 20mg severe organophosphate poisoning: 10mg IM one time |
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pediatrics
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seizure: 0.2mg/kg slow IV/IO (titrate to supress seizure activity) may repeat to a maximum of 15mg
0.5mg/kg PR every 10-15 minutes. maximum 3 doses |
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onset
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1-5 minutes
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duration
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2-3 hours
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precautions
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monitor and prepare to support both airway and ventilations. May cause significant respiratory depression.
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note
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May be given for focal seizures, but only if patient has an altered level of consciousness.
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