Diazepam/Valium Flashcards
1
Q
What is another name for Diazepam?
A
Valium
2
Q
What is another name for Valium?
A
Diazepam
3
Q
What type of drug is Diazepam?
A
Benzodiazepine
anticonvulsant and antianxiety
4
Q
What is the onset of Diazepam?
A
105-min IV
15-30min IM
5
Q
What is the duration of Valium?
A
15min-1hour IV or IM
6
Q
What are indications for Diazepam?
A
- acute anxiety
- acute alcohol withdrawal
- skeletal muscle relaxation
- seizure activity
- premedication for countershock or transcutaneous pacing
7
Q
What are contraindications of Valium?
A
- hypersensitivity
- substance abuse (relative)
- coma (unless seizing)
- shock
- CNS depression from head injury
- respiratory depression
8
Q
What are adverse reactions of Diazepam?
A
- hypotension
- tachycardia
- respiratory depression
- ataxia
- psychomotor impairment
- confusion
- nausea
- dizziness
- drowsiness
- blurred vision
9
Q
What are some drug interactions with Valium?
A
- it may precipitate CNS depression and psychomotor impairment when the patient is taking CNS depressant medications
- should not be given with other drugs because of incapability with most fluids
10
Q
How is Diazepam supplied?
A
5mg/mL vials
11
Q
What is the dosage of Valium?
A
Seizure activity:
5mg/2min Q 10-15min prn (up to 30mg)
Premedication for TCP:
5-15mg IV; 5-10min prior to procedure
12
Q
What are some special considerations for Diazepam/Valium?
A
- pregnancy safety category D
- may cause local venous irritation
- short duration of anticonvulsant effect
- reduce dose by 50% in elderly patients
- rectal admin may require larger dose because absorption is incomplete
- resuscitation equipment should be readily available
