NAME DOSAGE/

DRAWIN CLASSIFIC MECHANISM NURSING

OF TIME/ INDICATION SIDE EFFECT
G ATION OF ACTION RESPONSIBILITIES
DRUG ROUTE
Depresses all Preoperative Frequent: >Pain Before:
Benzodiaze Dosage-5 levels of CNS by (parenteral): Relief of with IM injection > Check the doctor’s order
Generic pine mg enhancing anxiety and tension > Review the purpose and
Name: Time- q3h action of gamma and to lessen recall in >Drowsiness importance of the drug and
Diazepa Route- IM aminobutyric patients prior to explain the purpose and
m acid (GABA), a surgical procedures, >Fatigue ataxia importance of the drug to
major inhibitory cardioversion, and the patients
Brand neurotransmitter endoscopic Occasional: >Assess B/P, pulse,
Name: in the brain. procedures. respiration immediately
Valium >Slurred speech before administration
Contraindications: >Anxiety: Assess
> Hypersensitivity to >Orthostatic autonomic response (cold,
Date: 09- diazepam hypotension, clammy hands;
07-2023 > Acute narrow- diaphoresis), motor
angle glaucoma >Headache response (agitation,
>Severe respiratory trembling, tension)
depression and >Hypoactivity >Perform hand hygiene
severe hepatic before handling the patient
insufficiency >Constipation >Administer the right drug
> Sleep apnea in the right route and
syndrome >Nausea dosage at the right time
> Myasthenia gravis Intervention/Evaluation:
>Blurred vision >Monitor heart rate,
Caution: respiratory rate, B/P,
> Pts receiving other Rare: Paradoxical mental status
CNS depressants or CNS reactions >Assess patient for
psychoactive agents noted during first 2 paradoxical reaction,
> Depression weeks of therapy, particularly during early
>History of drug and particularly in therapy
alcohol abuse, presence of >Evaluate for therapeutic
>Renal/hepatic uncontrolled pain response (decrease in
impairment intensity/frequency of
> Respiratory disease seizures; calm facial
 expression, decreased
Adverse effects: restlessness;
decreased intensity of
>IV route may skeletal muscle
produce pain, pain)
swelling, >Therapeutic serum
thrombophlebitis, level:
carpal tunnel 0.5–2 mcg/mL; toxic
serum level: greater than
>Abrupt or too- 3 mcg/mL
rapid withdrawal
may result in Patient/Family Teaching
pronounced >Instruct patient and SO to
restlessness, avoid alcohol and limit
irritability, caffeine
insomnia, hand >Advise patient may
tremor, cause drowsiness; avoid
abdominal/muscle tasks that require
cramps, alertness, motor skills until
diaphoresis, response to drug is
vomiting, seizures established
>Maybe habit forming
Antidote: >Encourage patient to
Flumazenil avoid abrupt
discontinuation
after prolonged use

Source: Source: Source: (2021) Source: (2021) Saunder’s Source: (2021) Source: (2021) Saunder’s NDH
(2021) (2021) Saunder’s NDH NDH Saunder’s NDH
Saunder’s Saunder’s
NDH NDH