Sedative Hypnotics - Revision history

Mfrdmanager at 13:41, 22 June 2018

2018-06-22T13:41:24Z

Mfrdmanager: Protected "Sedative Hypnotics" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T17:29:03Z

Protected "Sedative Hypnotics" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.15 SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC=== ====Diazepam (VALIUM) / Sedative Hypnotic==== '''DESCRIPTION''' * It is a skeletal muscl..."

2018-02-10T17:28:52Z

Created page with "==Section 8 - MEDICATION GUIDELINES== ===8.15 SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC=== ====Diazepam (VALIUM) / Sedative Hypnotic==== '''DESCRIPTION''' * It is a skeletal muscl..."

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==Section 8 - MEDICATION GUIDELINES==
===8.15 SEDATIVE / HYPNOTICS / ANTIPSYCHOTIC===

====Diazepam (VALIUM) / Sedative Hypnotic====
'''DESCRIPTION'''
* It is a skeletal muscle relaxant that reduces tremors, induces amnesia, and reduces the incidence and recurrence of seizures.
'''INDICATIONS'''
* [[Seizure|Seizures]], [[Seizure|Status Epilepticus]], premedication prior to [[Cardioversion|cardioversion]], acute anxiety states, acute alcohol withdrawal.
'''CONTRAINDICATIONS'''
* Hypersensitivity to the medication.
'''PRECAUTIONS'''
* Due to a short half-life of the drug, seizure activity may recur.
'''DOSAGE'''
* 2 - 20 mg Slow IVP for adults titrated to effect. If no IV access, administer 10 - 20 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site. Refer to PRACTICE PARAMETER for specific dosages.
* Refer to Handtevy System for pediatric dosage.

====Midazolam (VERSED) / Sedative / Hypnotic====
'''DESCRIPTION'''
* It is a skeletal muscle relaxant that reduces tremors, induces amnesia, and reduces the incidence and recurrence of seizures.
* Depresses sub-cortical levels in CNS.
'''INDICATIONS'''
* Sedation for post resuscitation combativeness, [[Head Injuries|combative head injury]], [[Intubation Endotracheal|intubations]], [[Transcutaneous Pacing Procedure|pacing]] and [[Cardioversion|cardioversion]].
* Seizures, status epilepticus.
'''CONTRAINDICATIONS'''
* Pregnancy (relative contraindication), hypersensitivity to benzodiazepines, coma, acute narrow angle glaucoma, shock, alcohol intoxication.
'''PRECAUTIONS'''
* Hypotension, COPD, CHF, chronic renal failure, chills, elderly, debilitated.
'''DOSAGE'''
* INTUBATION: Initial dose, 2-5 mg IVP then 2-4 mg every 30 seconds to 1 minute.
* SEDATION, PACING, CARDIOVERSION: Initial dose 2-5 mg IVP then 2 mg every 30 second to 1 minute IVP. Max dose= 15 mg in the intubated patient. Can be given IM.07-.mg/kg with onset in approximately 15 minutes
* An IM injection requires immediate IV access upon sedation.
* HYPOTENSION responds well to Trendelenburg.
* Pediatrics refer to Handtevy System.

[[Category:Medication Guidelines|0815]]

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 * HYPOTENSION responds well to Trendelenburg.
 * Pediatrics refer to Handtevy System.
 [[Category:Medication Guidelines|0815]]

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