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8 Cards in this Set

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  • Back
Diazepam (valium)

Class
Benzodiazepine: (sedative, hypnotic, anticonvulsant, anxiolytic, amnesic, muscle relaxant)
Diazepam (valium)

Route
Slow IV push, IM (alternate route), Rectal (preferred route for pediatric patients and alternate route for adults).
Diazepam (valium)

Dose Desired
Adult: Administer IV push in titrated doses of 2.5mg to achieve effect, or until the maximum dose is reached:
Sedation - not used in prehospital setting
Seizure - 10 mg

Pediatric: 0.5 mg/kg per rectum (PR) until seizure stops or until maximum dose of 10 mg is reached:
Sedation - not used in prehospital.
Seizure: 10 mg
Diazepam (valium)

Drug Action
Central nervous system depressant that results in amnesia, sedation, muscle relaxation.
Diazepam (valium)

Indications
-Active seizure/status epilepticus.
-Sedation of conscious patients prior to cardioversion and transcutaneous pacing.
-Chest pain or tachycardia following an overdose or ingestion of a stimulant or hallucinogen (cocaine, amphetamine, ecstacy, LSD, PCP, ketamine).
Diazepam (valium)

Precautions
Monitor respiratory status closely.
Administer at site closest to IV catheter and avoid mixing with any other drugs or solution; flush well before and after use.
Titrate in small boluses of 2.5 mg to avoid side effects.
Diazepam (valium)

Side Effects
Respiratory depression, hypotension, confusion, stupor, vein irritation, phlebitis, and sclerosis
Diazepam (valium)

Contraindications
Alcohol or other sedative drug use and head injury.