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NURS 1556 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 1 mg PO Q HS
antianxiety
agents,
sedative/hypnotic
Peak Onset Duration For IV meds, compatibility with IV drips and /or
1-6 min 15-60 min 8-12 hr solutions

Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on)
Depresses the CNS, probably by potentiating GABA, an Contraindications/warnings/interactions -
inhibitory neurotransmitter. Indicated for patients with Hypersensitivity, Cross-sensitivity with other
anxiety. benzodiazepines may exist. Lower doses recommended
for geriatric or debilitated patients, uncontrolled severe
pain.
Common side effects - dizziness, drowsiness, lethargy,
apnea, cardiac arrest

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine - Patients on
medicines (ask patient specifically) – opioid analgesics high-dose therapy should receive routine evaluation of
such as Lortab, antidepressants such as Lexapro, renal, hepatic, and hematologic function
sedative/hypnotics such as Ativan may decrease efficacy Be sure to teach the patient the following about this
of levodopa. medication – drowsiness, dizziness, lethargy

Nursing Process- Assessment (Pre- Assessment Evaluation Check after


administration assessment) - Assess degree Why would you hold or not give this giving - Decrease in
and manifestations of anxiety prior to and med? - Troublesome occurrence of subjective feelings of
periodically throughout therapy adverse side effects anxiety without excessive
sedation