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NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


lorazepam Ativan Benzodiazepines 0.5 mg PO at hour of sleep
antianxiety agents,
sedative/hypnotics
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
1-6 hr 15-60 min 8-12 hr

Mechanism of action and indications Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions
Adjunct management of anxiety or insomnia Hypersensitivity, Cross-sensitivity with other benzodiazepines may
exist, Severe hepatic/renal/pulmonary impairment, Geri: Lower
doses recommended for geriatric or debilitated patients
Common side effects
CNS: dizziness, drowsiness, lethargy, hangover, headache,
mental depression, paradoxical excitation, EENT: blurred vision.
Resp: respiratory depression, CV: rapid IV use only: APNEA,
CARDIAC ARREST, bradycardia, hypotension,
GI: constipation, diarrhea, nausea, vomiting,
Derm: rashes
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Patients on high-dose therapy should receive routine evaluation of
None for this pt renal, hepatic, and hematologic function
Be sure to teach the patient the following about this
medication
May cause drowsiness or dizziness

Nursing Process- Assessment Assessment Evaluation


(Pre-administration assessment) Why would you hold or not give this Check after giving
med? Troublesome occurrence of Decrease in subjective feelings of
adverse side effects anxiety without excessive
sedation

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