Diazepam

Question 1

Diazepam (Valium)

Class

Answer 1

Benzodiazepine

Question 2

Diazepam (Valium)

Action

Answer 2

Anticonvulsant/ CNS depressant
Sedative
Skeletal muscle relaxant

Question 3

Diazepam (Valium)

Indication

Answer 3

Seizures
Adjunct to intubation
Sedation prior to cardioversion
Chemical restraint

Question 4

Diazepam (Valium)

Dose/route

Answer 4

5mg SLOW IVP or IM if unable to start IV, MR 5mg IVP or IM if seizure persists
Cardioversion=SLOW IVP 5-10mg

Question 5

Diazepam (Valium)

Peds Dose

Answer 5

0. 25 mg/kg SLOW IVP, IM, IO, titrate to control seizure.

0. 5 mg/kg rectal

Question 6

Diazepam (Valium)

Onset

Answer 6

IV=1-5 min

IM= 5-15 min

Question 7

Diazepam (Valium)

Contra

Answer 7

1) Hypersensitivity to Valium
2) hypovolemia, hypotension, shock
3) Coma
4) Acute narrow-angle glaucoma
5) Acute ETOH intoxication
6) Depressed vital signs
7) Pregnancy

Question 8

Diazepam (Valium)

Adverse Effects

Answer 8

CNS= sedation, ataxia, coma, drowsiness
CV= Hypotension
Resp= resp. Depression

Question 9

Diazepam (Valium)

Precautions

Answer 9

1) Keep airway equipment ready (airway management)
2) Monitor VS & assess resp. Continuously
3) Possible resp. Depression w/ rapid IVP
4) IM injections = give in large muscle mass (no deltoid)
5) Potentiates effects of ETOH & CNS depressants
6) Painful during IV admin, may cause local venous irritation

Question 10

Diazepam (Valium)

Supplied

Answer 10

10mg / 2ml preload or vial