Gen Trade Classification Peak For IV meds, compatibility with

eric Ambie Sedative-hypnotic, /Ons IV drips and/or solutions

n, nonbenzodiazepine
et
Ambie Durat Normal dosage range
zol
n CR, 12.5 mg just before bedtime. For elderly
ion
pid Tovalt
3 to 4 or debilitated clients, give 6.25 mg just
em ODT before bedtime.
(deep
sleep)
Dos Route Time/frequency Mechanism of action and indications (Why is
e PO nightly prn med ordered)
5 Tube May act by subunit modulation of the GABA receptor
mg feedi chloride channel macromolecular complex resulting in
sedative
ng
Why is your patient taking this med?
Treatment of insomnia characterized by
difficulties with sleep onset and/or sleep
maintenance

Lab value alterations caused by med Common side effects

↑ ALT, AST, BUN. Hyperglycemia, Dizziness, drowsiness, drugged feeling, headache,
hypercholesterolemia, hyperlipidemia, abnormal nausea, diarrhea, dyspepsia, myalgia, URTI. Extended-
hepatic function Release: Headache, somnolence, dizziness, nausea,
diarrhea, nasopharyngitis.

Nursing Implications (What to focus on) Nursing assessment (pre-administration)

Contraindications/warnings/
Assess for respiratory dysfunction (sleep apnea), drug or
interactions
alcohol dependence; assess for symptoms of
depression. Monitor CBC, LFTs. .
Do not confuse Ambien with Amen (a progestin
Assessment (why would you hold this med?)
assess response and for adverse SE
Evaluation (post-administration)

 Relief of insomnia
 ↓Difficulty with sleep onset/maintenance