Benzodiazepines

Question 0

Valium

Another Name

Answer 0

Diazepam

Question 1

Diazepam

Another Name

Answer 1

Valium

Question 2

Diazepam (Valium)

Class

Answer 2

Anti-anxiety, Hypnotic, Anticonvulsant, Sedative

Question 3

Diazepam (Valium)

Description

Answer 3

Benzodiazepine sedative and skeletal muscle relaxant the reduces tremors, induces amnesia, and reduces the incidence and recurrence of seizures. It relaxes muscles spasms in orthopedic injuries and produces amnesia for painful procedures (cardioversion)

Question 4

Diazepam (Valium)

Indication

Answer 4

Major motor seizures, status epilepticus, premedication before cardioversion, muscle tremors due to injury and acute anxiety

Question 5

Diazepam (Valium)

Contraindication

Answer 5

Shock, coma acute alcoholism, depressed vital signs, obstetric patients, neonates

Question 6

Diazepam (Valium)

Precautions

Answer 6

Psychosis, depression, myasthenia gravis - short half life, seizures may recur

Question 7

Diazepam (Valium)

Dose/Route

Answer 7

Seizures: 5-10 mg IV/IM
Acute anxiety: 2-5 mg IV/IM
Premedication: 5-15 mg IV

Question 8

Diazepam (Valium)

Pedi Dose/Route

Answer 8

Seizures: 0.5-2 mg IV/PR

Premedication 0.2-0.5 mg/kg IV

Question 9

Lorazepam

Another Name

Answer 9

Ativan

Question 10

Ativan

Another Name

Answer 10

Lorazepam

Question 11

Lorazepam (Ativan)

Class

Answer 11

Sedative

Question 12

Lorazepam (Ativan)

Description

Answer 12

Most potent benzodiazepine available. Strong anti-anxiety, sedative, hypnotic, and skeletal muscle relaxant properties, relatively short half life

Question 13

Lorazepam (Ativan)

Indications

Answer 13

Sedation for cardioversion and status epilepticus

Question 14

Lorazepam (Ativan)

Contraindication

Answer 14

Sensitivity to benzodiazepines

Question 15

Lorazepam (Ativan)

Precautions

Answer 15

Narrow angle glaucoma, depression or psychosis, coma, shock, acute alcohol intoxication, renal or hepatic impairment, organic brain syndrome, myasthenia gravis, GI disorders, elderly, debilitated, limited pulmonary reserve

Question 16

Lorazepam (Ativan)

Dose/Route

Answer 16

Sedation: 2-4 mg IM, 0.5-2 mg IV

Status Epilepticus: 1-2 mg slow IV/PR (2mg/min)

Question 17

Lorazepam (Ativan)

Pedi Dose/Route

Answer 17

Sedation: 0.03 - 0.5 mg/kg IV/IM/PR up to 4 mg

Status Epilepticus: 0.1 mg/kg slow IV/PR (2-5 min)

Question 18

Midazolam

Another Name

Answer 18

Versed

Question 19

Versed

Another Name

Answer 19

Midazolam

Question 20

Midazolam (Versed)

Class

Answer 20

Sedative

Question 21

Midazolam (Versed)

Description

Answer 21

Short acting benzodiazepine with CNS depressant, muscle relaxant, anticonvulsant and anterior grade amnestic effects

Question 22

Midazolam (Versed)

Indication

Answer 22

Induce sedation before cardioversion or intubation, seizures

Question 23

Midazolam (Versed)

Contraindications

Answer 23

Hypersensitivity to benzodiazepine, narrow angle glaucoma, shock, coma, acute alcohol intoxication

Question 24

Midazolam (Versed)

Precautions

Answer 24

COPD, renal impairment, CHF, elderly

Question 25

Midazolam (Versed)

Dose/Route

Answer 25

1-5 mg slow IV/IM, 3 mg intranasal

Pedi: 0.05-0.2 mg/kg IV, 0.1-0.15 mg/kg IM