Activity and Rest: Medications

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Author:
stephrigu
ID:
66759
Filename:
Activity and Rest: Medications
Updated:
2011-02-16 14:10:30
Tags:
Medications
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Description:
Activity and Rest Module : Benzodiazepines (Mosby chapt. 16)
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  1. Adverse Effects of Benzodiazepines
    (5) Common
    (9) Less Common
    (1) Other
    (4) Paradoxical Neurological Reactions
    (10) Additional
    (4) Associated w/ Midazolan (versed)
    • Common
    • 1. Psychological and physical dependence
    • 2. Drowsiness
    • 3. Hiccups
    • 4. Lassitude (lack of energy)
    • 5. Loss of dexterity

    • Less Common
    • 1. Dry mouth
    • 2. Nausea
    • 3. Vomiting
    • 4. Headache
    • 5. Constipation
    • 6. Abdominal Cramping
    • 7. Unsteadiness
    • 8. Dizziness
    • 9. Blurred vision

    • Other
    • 1. Increased behavioral problems (mostly with children; anger decreased ability to concentrate)

    • Paradoxical Neurological Reactions
    • 1. Insomnia
    • 2. Increased excitability
    • 3. Hallucinations
    • 4. Apprehension

    • Additional
    • 1. Pruritus
    • 2. Skin rash
    • 3. Sore throat
    • 4. Elevated Temp
    • 5. Increased bruising or bleeding episodes
    • 6. Mental depression
    • 7. Hepatitis
    • 8. Confusion
    • 9. Mouth or Throat sores
    • 10. Muscle weakness

    • Associated w/ Midazolan (versed)
    • 1. Muscle tremors
    • 2. Tachycardia
    • 3. Shortness of breath
    • 4. Breathing difficulties
  2. Ambien (Zolpidem)
    -Dosage
    -Action/Implication
    -Side Effects
    • 1) Adult dosage = 10 mg @ HS
    • Older adult = require a 5 mg initial dose
    • Younger than 18 y/o = no dose established
    • 2) Action = Binds to only omega₁ receptors used for the short- term treatment of insomnia
    • 3) Adverse side effects = ataxia (lack of coordination of muscle movements), depression, hypersensitivity reaction, rash, hypotension, nightmares, anterograde amnesia, drowsiness, dizziness, vertigo, dry mouth, nausea, vomiting, headache, tiredness, double vision and diarrhea
  3. Dalmane (flurazepam or apo-flurazepam)
    -Dosage
    -Action/Implication
    - Side Effects
    • 1) Adult Dosage = 15-30 mg PO @ HS
    • 2) Action = Use limited to insomnia; typically avoided in older adults because of hang-over effects
    • 3) Adverse side effects = excessive "hang-over" effects, similar to other BENZODIAZEPINES
  4. Ativan (Lorazepam, Apo-lorazepam, Novo-lorazepam)
    -Dosage
    -Action/Implication
    -Side Effects
    • 1) Adult Dosage = 0.5-2 mg PO q 6-8 h / 1-4 mg PO @ HS PRN
    • 2) Action/Implication = Most commonly used for older adults and those with liver disease. Used for insomnia, Anxiety, Alcohol withdrawal, adjunct to anesthesia, status epiliticus
    • 3) Adverse side effects = similar to other BENZODIAZEPINES
  5. Restoril (temazepam, apo-temazepam, novo-temazepam)
    -Dosage
    -Action/Implication
    -Side Effects
    • 1) Adult dosage = 7.5-30 mg PO @ HS
    • 2) Action = Used as a sedative-hypnotic. Used typically limited to insomnia. Effective if administered 1-1.5 h before HS
    • 3) Adverse side effects = similar to other BENZODIAZEPINES

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