This document provides information about the medication diphenhydramine (Benadryl) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes diphenhydramine's mechanism of action, indications, nursing implications, contraindications, interactions, side effects and important teaching points for patients. Nurses should carefully monitor patients receiving this medication to assess for potential anticholinergic side effects like confusion, delirium and fall risk.
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This document provides information about the medication diphenhydramine (Benadryl) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes diphenhydramine's mechanism of action, indications, nursing implications, contraindications, interactions, side effects and important teaching points for patients. Nurses should carefully monitor patients receiving this medication to assess for potential anticholinergic side effects like confusion, delirium and fall risk.
This document provides information about the medication diphenhydramine (Benadryl) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes diphenhydramine's mechanism of action, indications, nursing implications, contraindications, interactions, side effects and important teaching points for patients. Nurses should carefully monitor patients receiving this medication to assess for potential anticholinergic side effects like confusion, delirium and fall risk.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
This document provides information about the medication diphenhydramine (Benadryl) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes diphenhydramine's mechanism of action, indications, nursing implications, contraindications, interactions, side effects and important teaching points for patients. Nurses should carefully monitor patients receiving this medication to assess for potential anticholinergic side effects like confusion, delirium and fall risk.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
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Generic Name TradeName Classification Dose Route Time/frequency
diphenhydramine Benadryl allergy, cold, and 12.5 mg IVP Q 6 hr.PRN cough remedies, antihistamines , antitussives Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions unknown rapid 4-8 hr Direct IV: May be further diluted in 0.9% NaCl, 0.45% NaCl, D5W, D10W, D5/0.9% NaCl, D5/0.45% NaCl, D5/0.25% NaCl, Ringer's solution, LR, and dextrose/Ringer's combinations Rate: Inject 25 mg over at least 1 min Y-Site Incompatibility: ♦allopurinol ♦amphotericin B cholesteryl sulfate ♦ cefepime ♦foscarnet Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Hypersensitivity, rolling of jaw May cause paradoxical excitation in young children Significant CNS depressant and anticholinergic properties Common side effects CNS: drowsiness, dizziness, headache, paradoxical excitation (increased in children), EENT: blurred vision, tinnitus, CV: hypotension, palpitations, GI: anorexia, dry mouth, constipation, nausea, GU: dysuria, frequency, urinary retention, Derm: photosensitivity, Resp: chest tightness,, thickened bronchial secretions, , wheezing, Local: pain at IM site, Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Diphenhydramine may decrease skin response to allergy tests. ↑ risk of CNS depression with other antihistamines , alcohol , Discontinue 4 days before skin testing opioid analgesics , and sedative/hypnotics Be sure to teach the patient the following about this medication Caution patient not to use oral OTC diphenhydramine products with any other product containing diphenhydramine, including products used topically Pedi: Can cause excitation in children. Caution parents or caregivers about proper dose calculation; overdosage, especially in infants and children, can cause hallucinations, seizures or death Inform patient that this drug may cause dry mouth. Frequent oral rinses, good oral hygiene, and sugarless gum or candy may minimize this effect. Notify dentist if dry mouth persists for more than 2 wk Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Monitor carefully, Why would you hold or not give this Check after giving assess for confusion, delirium, other anticholinergic med? Decreased dyskinesia in side effects and fall risk. Institute measures to sedation and confusion due to increased parkinsonism and extrapyramidal prevent falls. Assess movement disorder before and sensitivity to anticholinergic effects. reactions after administration Monitor carefully, assess for confusion, delirium, other anticholinergic side effects and fall risk. Institute measures to prevent falls