Benzos Flashcards

0
Q

Benzo

Class

A

Antiepileptic
Anxiolytic
Benzodiazepine

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1
Q

Diazepam/Valium

Indications

A
A-acute anxiety attack
S-sedation for electrical therapy
P-
A-acute alcohol withdrawal
S-seizure activity
M-
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2
Q

Benzo

P-Dyn

A

Bind to benzodiazepine sites in GABA receptors
Potentiates GABA by increasing frequency of Cl channel opening
Increases seizure threshold, sedation
Decreases anxiety

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3
Q

Benzodiazepines

A/S

A

Hypotension, apnea, respiratory depression, decreased LOC, confusion, N/V

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4
Q

Benzodiazepines

Contraindications

A

Allergy, ETOH respiratory depression, shock, head injury, coma

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5
Q

Benzodiazepines

Precautions

A

Reduced dose in elderly
DILUTE, venous irritation
Flush line well

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6
Q

Benzodiazepines

Interactions

A

Increased effects with CNS depressants

Flumazenil is antidote

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7
Q

Diazepam/Valium

P-Dyn

A

Anxiety reduction
Skeletal muscle relaxant
Sedation
Seizure suppression

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8
Q

Diazepam/Valium

A/S

A

Hypotension, apnea, resp depression, decreased LOC, confusion, N/V

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9
Q

Diazepam/Valium

Contraindications

A

Allergy, ETOH, resp depression, shock, head injury, coma

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10
Q

Diazepam/Valium

Interactions

A

DILUTE
Increases effects with other CNS depressants
Easily precipitates with other drugs

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11
Q

Diazepam/Valium

Indications

A

Acute anxiety
Skeletal muscle spasms
Premed
Seizures/status epilepticus

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12
Q

Diazepam/Valium

Dose

A

Slow IV or IM
MAX- 30 mg

Sz- 5-10 mg q 10-15 PRN
Anxiety- 2-5 mg
Premed- 5-15 mg

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13
Q

Lorazepam/Ativan

Indications

A

Anxiety, premed, seizure

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14
Q

Lorazepam/Ativan

Dose

A

1-4 mg slow IV/IM x2-10 min

Q 15-20 MAX 8 mg

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15
Q

Midazolam/Versed

Indications

A

Premed, Adult/Peds seizure

16
Q

Midazolam/Versed

Dose

A

Premed- 1-2.5 mg slow IV
Small increments PRN MAX 0.1 mg/kg
Seizure- 5 mg slow IV/IM (0.07-0.08 mg/kg)

17
Q

Flumazenil/Romazicon

Class

A

Benzo antagonist

18
Q

Flumazenil/Romazicon

P-Dyn

A

Direct benzo antagonist, specific for benzos

19
Q

Flumazenil/Romazicon

Indications

A

Benzo overdose

Reversal of benzo sedation

20
Q

Flumazenil/Romazicon

A/S

A

Seizures, agitation, N/V

21
Q

Flumazenil/Romazicon

Contraindications

A

Allergy
TCA overdose
Stimulant intox

22
Q

Flumazenil/Romazicon

Dose

A
  1. 2 mg x15 sec
  2. 3 mg q 30 sec
  3. 5 mgq 60 sec x4, max 3 mg

No peds

23
Q

Diazepam/Valium

Peds Dose

A

5y> 0.2-0.5 mg/kg q 2-5 max5

>5y 1 mg q 2-5 m10, (0.1 mg/kg)

24
Q

Lorazepam/Ativan

Peds Dose

A

PEDS- 0.05-0.1 mg/kg SLOW
Repeat x1 q 5-10 MAX 4 mg
Rectal 0.1-0.2 mg/kg

25
Q

Midazolam/Versed

Peds Dose

A

Peds- seizure 0.1-0.15 mg/kg max 5

Sedation- 0.05-0.2 mg/kg