Difference between revisions of "Sedative Hypnotics"
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Mfrdmanager (talk | contribs) (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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* HYPOTENSION responds well to Trendelenburg. | * HYPOTENSION responds well to Trendelenburg. | ||
* Pediatrics refer to Handtevy System. | * Pediatrics refer to Handtevy System. | ||
| + | |||
| + | ====Lorazapam (ATIVAN) / 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, pregnancy, severe respiratory failure, acute narrow-angle glaucoma. | ||
| + | '''PRECAUTIONS''' | ||
| + | * Risk for respiratory depression and bradycardia, and should be administered with ECG SpO2 EtCO2 monitoring. | ||
| + | '''DOSAGE''' | ||
| + | * 1-2 mg Slow IVP for adults titrated to effect. Max dose of 8mg. If no IV access or Agitated/Violent behavioral patient, administer 1-2 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site. | ||
| + | * Refer to Handtevy System for pediatric dosage. | ||
[[Category:Medication Guidelines|0815]] | [[Category:Medication Guidelines|0815]] | ||
Latest revision as of 06:41, 22 June 2018
Contents
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
- Seizures, Status Epilepticus, premedication prior to 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, combative head injury, intubations, pacing and 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.
Lorazapam (ATIVAN) / Sedative Hypnotic
DESCRIPTION
- It is a skeletal muscle relaxant that reduces tremors, induces amnesia, and reduces the incidence and recurrence of seizures.
INDICATIONS
- Seizures, Status Epilepticus, premedication prior to cardioversion, acute anxiety states, acute alcohol withdrawal.
CONTRAINDICATIONS
- Hypersensitivity to the medication, pregnancy, severe respiratory failure, acute narrow-angle glaucoma.
PRECAUTIONS
- Risk for respiratory depression and bradycardia, and should be administered with ECG SpO2 EtCO2 monitoring.
DOSAGE
- 1-2 mg Slow IVP for adults titrated to effect. Max dose of 8mg. If no IV access or Agitated/Violent behavioral patient, administer 1-2 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
- Refer to Handtevy System for pediatric dosage.
