DIAZEPAM (VALIUM)

Question 1

CLASS

Answer 1

ANTICONVULSANT

SEDATIVE

BENZODIAZEPINE (CONTROLLED SUBSTANCE SCHEDULE IV)

Question 2

ACTIONS

Answer 2

INHIBITS THE SPREAD OF ELECTRICAL ACTIVITY FROM THE IRRITABLE FOCUS IN THE IRRITABLE NEURONS IN THE BRAIN

CALMS CNS TO HAVE AN ANTI-ANXIETY SEDATIVE EFFECT

Question 3

INDICATIONS

Answer 3

STATUS EPILEPTICUS

ACUTE ANXIETY STATES

SEDATION BEFORE ELECTIVE CARDIOVERSION

ACUTE ALCOHOL WITHDRAWAL SYMPTOMS, DELIRIUM, IRRITABILITY, TREMORS MAY BE ORDERED TO BLUNT THE MAJOR HYPERSYMPATHETIC RESPONSE FROM COCAINE : PERSISTENT SUPRAVENTRICULAR TACHYCARDIA

Question 4

DOSAGE/ROUTE

Answer 4

SEE HAWAII E.S.

PRE CARDIOVERSION OR TRANSCUTAENOUS PACING: SLOW IV BOLUS TITRATED TO INDUCTION OF SEDATION

Question 5

STANDARD PREP

Answer 5

10 MG / 2 CC PRELOADED SYRINGE

Question 6

PEDS DOSE

Answer 6

SEE HAWAII SO

IF NO IV, GIVE DOUBLE THE DOSE RECTALLY WITH TB SYRINGE WITHOUT A NEEDLE

Question 7

SIDE EFFECTS

Answer 7

RESPIRATORY DEPRESSION

DECREASED LEVEL OF CONSCIOUSNESS

HYPOTENSION (USUALLY TRANSIENT)

PAIN AT IV SITE - FLUSH LINE WITH GENEROUS AMOUNT OF NORMAL SALINE

Question 8

CONTRAINDICATIONS

Answer 8

HYPOVOLEMIA

HYPOTENSION

SHOCK

PREGNANCY

ISOLATED HEAD OR MULTISYSTEMS TRAUMA

PAIN, UNKNOWN ETIOLOGY

PATIENTS WITH ETOH OR OTHER CNS DEPRESSANTS

Question 9

PRECAUTIONS

Answer 9

HAVE RESUSCITATION EQUIPMENT READILY AVAILABLE WITH SUPPLEMENTAL OXYGEN.

EXPECT SHORT ONSET AND DURATION OF ACTION

REQUEST PRN ORDER DURING COMMO WITH MD.