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THP

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GENERIC TRAD CLASSIFICA DOSE MODE OF INDICATION CONTRAINDI SIDE-EFFECT NURSES RESPONSIBILITY

NAME E TION AND ACTION -CATION


NAME ROUTE
Lorazepam Ativan Anxiolytic; PO 2–6 Route: Management of Known Usually disappear a) Have equipment for
sedative- mg/d in Oral, psychotic sensitivity to with continued maintaining patent airway
Hypnotic; divided Intramuscu disorders, benzodiazepine medication or immediately available before
Benzodiazepin doses lar, management of s; acute with reduced starting IV administration.
e (max: 10 Intravenou bipolar disorder. narrow-angle dosage. b) IM or IV lorazepam injection
mg/d) s Management of glaucoma; Anterograde of 2–4 mg is usually
agitation and primary amnesia, followed by a depth of
dementia. depressive drowsiness, drowsiness or sleepiness that
disorders or sedation, permits patient to respond to
psychosis; dizziness, simple instructions whether
children <12 y weakness, patient appears to be asleep
(PO unsteadiness, or awake.
preparation); disorientation, c) Supervise ambulation of
coma, shock, depression, sleep older adult patients for at
acute alcohol disturbance, least 8 h after lorazepam
intoxication; restlessness, injection to prevent falling
pregnancy confusion, and injury.
(category D), hallucinations. d) Lab tests: Assess CBC and
and lactation Hypertension or liver function tests
hypotension. periodically for patients on
Special Senses: long-term therapy.
Blurred vision, e) Supervise patient who
diplopia; exhibits depression with
depressed anxiety closely; the
hearing. Nausea, possibility of suicide exists,
vomiting, particularly when there is
abdominal apparent improvement in
discomfort, mood.
anorexia.
Do not drive or engage in other
hazardous activities for a least 24–48
h after receiving IM injection of
lorazepam.
Do not drink large volumes of
coffee. Anxiolytic effects of
lorazepam can significantly be
altered by caffeine.
Do not consume alcoholic beverages
for at least 24–48 h after an injection
and avoid when taking an oral
regimen.
Notify physician if daytime
psychomotor function is impaired; a
change in regimen or drug may be
needed.
Terminate regimen gradually over a
period of several days. Do not stop
long-term therapy abruptly;
withdrawal may be induced with
feelings of panic, tonic–clonic
seizures, tremors, abdominal and
muscle cramps, sweating, vomiting.
Do not self-medicate with OTC
drugs; seek physician guidance.
Discuss discontinuation of drug with
physician if you wish to become
pregnant.
Do not breast feed while taking this
drug.

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