diazepam.txt

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Author:
papeirce
ID:
77123
Filename:
diazepam.txt
Updated:
2011-04-03 21:57:06
Tags:
paramedic medications drugs prehospital diazepam valium
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Diazepam

    Trade Name
    Valium
  2. Diazepam

    Class
    • Benzodiazepine
    • Sedative-Hypnotic
    • Anticonvulsant
  3. Diazepam

    Mechanism of Action
    • Potentiates effects of inhibitory neurotransmitters
    • Raises seizure threshold
    • Induces amnesia & sedation
  4. Diazepam

    Indications
    • Management of seizures
    • Adjunct to cardioversion& pacing (sedation)
  5. Diazepam

    Contraindications
    • Hypersensitivity
    • Glaucoma
    • Coma
    • Shock
    • Substance abuse
    • Head injury
  6. Diazepam

    Adverse Reactions
    • Respiratory depression
    • Hypotension
    • Drowsiness
    • Ataxia
    • Reflex tachycardia
    • Nausea
    • Confusion
    • Thrombosis
    • Phlebitis
  7. Diazepam

    Drug Interactions
    Incompatible with most drugs, fluids
  8. Diazepam

    How Supplied
    10 mg/5 ml prefilled syringes, ampules, vials & Tubex
  9. Diazepam

    Dosage and Administration
    Adult
    • Seizure Activity:
    • 5-10 mg IV q 10-15 minutes PRN (5 mg over 5 min)(maximum dose = 30 mgs)
    • Sedation for cardioversion: 5-15 mg IV over 5-10 minutes prior to cardioversion
  10. Diazepam

    Dosage and Administration
    Pediatric
    • Seizure Activity:
    • 0.2-0.3 mg/kg/dose IV every 15-30 minutes (no faster than 3 mg over 5 minutes) (max. = 10 mg/kg)
    • Rectal diazepam:
    • 0.5 mg/kg via 2 inch rectal catheter and flush with 2-3 ml air after administration
  11. Diazepam

    Duration of Action
    • Onset: 1-5 minutes
    • Peak effect: minutes
    • Duration: 20-50 minutes
  12. Diazepam

    Special Considerations
    • Pregnancy Safety: Category D
    • Short duration of anticonvulsant effect
    • Reduce dose 50% in elderly patient

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