Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
|
Name
|
Diazepam (Valium)
|
|
|
class
|
anticonvulsant; benzodiazepine; tranquilizer
|
|
|
action (1-2)
|
1)suppresses the spread of seizure activity and raises the seizure threshold in the motor cortex.
2) sedative effect depresses the CNS and reduces anxiety |
|
|
action (3-5)
|
3) skeletal muscle relaxant
4) Induces amnesia 5) onset of action is within 1 to 5 min. for IV and immediate for rectal |
|
|
Side effects
|
CNS:dizziness;drowsiness;Headache
Respiratory: respiratory arrest/depression CardioVascular: Bradycardia, reflex-tachycardia, hypotension |
|
|
Contras:
|
Absolute: Head injury; Hypersensitivity; Respiratory depression
Relative:CNS Depression; Hypotension |
|
|
Precautions (1-2)
|
1)dont mix with any other drug because of potential to precipitate 2) Use with caution in elderly and children
|
|
|
Precautions (3-4)
|
3)Inject in the port closest to the patient because diazepam causes local venous irritation
4) Dont administer diazepam faster than 5mg/min |
|
|
Drug Interactions
|
Potentiate of sedative effects in the presence of antihistamines, antidepressants, alcohol, narcs. barbituates, sedatives, and hypnotics
|
|
|
Preparations
|
20mg/ 2ml and 10 mg/ 2ml vials and preloads
|
|
|
Adult dose
|
Seizures: 5 to 10 mg IV. May repeat q 5 to 15 in prn to a max dose of 20mg
Anxiety: 2 to 5 mg IV or IM Cardiversion: 5 to 10mg IV titrated to effect |
|
|
Pedi Dose
|
Seizures: 0.1mg/kg IV may repeat q 5 to15 min prn to a max dose of 20mg
|
