Medications (Clinical Rotation)

Question 1

Generic: Clonazepam
Brand: Klonopin

Answer 1

• Drug Class: Benzodiazepine; anticonvulsants
• Route(s): PO
• High Alert: Yes. Schedule IV
• MOA: Produces sedative effects in the CNS, probably by stimulating inhibitory GABA receptors
• Indications: Lennox-Gastaut, akinetic, or myoclonic seizures; Panic disorder w/ or w/o agoraphobia
• Therapeutic Uses: Prevention of seizures; decreased manifestations of panic disorder

Question 2

Generic: Clonazepam
Brand: Klonopin

Answer 2

Side Effects/Adverse Effects:
- CV: palpitations
- Derm: rash
- EENT: diplopia, nystagmus
- GI: constipation, diarrhea, hepatitis
- GU: dysuria, nocturia, urinary retention
- Hemat: anemia, eosinophilia, leukopenia, thrombocytopenia
- Metabolic: weight gain
- Neuro: ataxia, behavioral changes, drowsiness, fatigue, hypotonia, sedation, slurred speech, suicidal thoughts
- Resp: Increased secretions
- Misc. fever, physical dependence, psychological dependence, tolerance

Question 3

Generic: Clonazepam
Brand: Klonopin

Answer 3

• Contraindications: hypersensitivity to clonazepam or other benzodiazepines; severe hepatic impairment
• Considerations: Monitor closely for notable changes in behavior that could indicate emergence or worsening suicidal thoughts or behavior
• Nursing Interventions: Administer w/ food to minimize gastric irritation.
• Notes:

Question 4

Generic: Clonazepam
Brand: Klonopin

Answer 4

• Drug Class:
• Route(s):
• High Alert:
• MOA:
• Indications:
• Therapeutic Uses:

Answer 6

• Contraindications:
• Considerations:
• Nursing Interventions:
• Notes:

Question 8

Generic: Clonazepam
Brand: Klonopin

Answer 8

• Drug Class:
• Route(s):
• High Alert:
• MOA:
• Indications:
• Therapeutic Uses:

Answer 9

• Contraindications:
• Considerations:
• Nursing Interventions:
• Notes:

Question 10

Generic: Clonazepam
Brand: Klonopin

Answer 10

• Drug Class:
• Route(s):
• High Alert:
• MOA:
• Indications:
• Therapeutic Uses:

Question 12

Generic: Clonazepam
Brand: Klonopin

Answer 12

• Drug Class:
• Route(s):
• High Alert:
• MOA:
• Indications:
• Therapeutic Uses:

Answer 13

• Contraindications:
• Considerations:
• Nursing Interventions:
• Notes:

Answer 15

• Contraindications:
• Considerations:
• Nursing Interventions:
• Notes:

Question 16

Generic: Clonazepam
Brand: Klonopin

Answer 16

• Drug Class:
• Route(s):
• High Alert:
• MOA:
• Indications:
• Therapeutic Uses:

Answer 18

• Contraindications:
• Considerations:
• Nursing Interventions:
• Notes:

Question 19

Generic: Clonazepam
Brand: Klonopin

Answer 19

• Drug Class:
• Route(s):
• High Alert:
• MOA:
• Indications:
• Therapeutic Uses:

Answer 20

• Contraindications:
• Considerations:
• Nursing Interventions:
• Notes: