Sedative/Hypnotics

Nursing Process I with Collins at Butler County Community College

About this deck

By: Christen Funk
Created: 2012-03-17
Size: 24 flashcards
Views: 3

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Diphenhydramine (Benadryl) Classification

Antihistamines

Diphenhydramine (Benadryl) main action

Significant CNS depressant

Diphenhydramine (Benadryl) Indication

Relief of allergy symptoms, motion sickness, and insomnia. Mild nighttime sedation.

Diphenhydramine (Benadryl) Side effect/Adverse reaction

Drowsiness, anorexia, dry mouth

Diphenhydramine (Benadryl) Assessment/ Implementation/ Evaluation

When used for insomnia, administer 20 minutes before bedtime and schedule activities to minimize interruption of sleep. Elderly patients should be monitored for profound sedation and altered consciousness, which may contribute to falls or other injuries. Eval- Improved sleep when used as a sedative/hypnotic.

Diphenhydramine (Benadryl) Pt teaching

May cause drowsiness. Their effectiveness may diminish with long-term use.

Phenobarbital (Luminal) classification

Barbiturates

Phenobarbital (Luminal) Main action

Produces all levels of CNS depression

Phenobarbital (Luminal) Indication

Reduce anxiety and cause drowsiness. At moderate doses they inhibit seizure activity and promote sleep.

Phenobarbital (Luminal) Side effect/Adverse reaction

Drowsiness, respiratory depression, psychological and physical dependance

Phenobarbital (Luminal) Assessment/ Implementation/ Evaluation

Elderly may react w/ marked excitement, depression, and confusion. Supervise ambulation and transfer of patients following administration. Eval- improvement in sleep patterns

Phenobarbital (Luminal) Pt teaching

Report extreme lethargy, slurred speech, disorientation, or ataxia. Avoid abrupt discontinuations of therapy as this may cause seizures.

Diazepam (Valium) Classification

Benzodiazepines

Diazepam (Valium) Main Action

Significant CNS depressant

Diazepam (Valium) Indication

Drug of choice for various anxiety disorders, insomnia, alcohol withdrawal, seizures

Diazepam (Valium) Side effect/Adverse reaction

Drowsiness, lethargy, constipation, physical dependance and psychological dependence

Diazepam (Valium) Assessment/ Implementation/ Evaluation

Assess risk of falls in elderly. Assess degree of anxiety and level of sedation. Eval- decrease in anxiety levels, improved sleep.

Diazepam (Valium) pt teaching

Abrupt withdrawal may cause insomnia, nervousness, seizures. Avoid taking OTC sleep-inducing antihistamines. Avoid consuming alcohol.

Zolpidem (Ambien) Classification

None

Zolpidem (Ambien) Main action

Significant CNS depressant

Zolpidem (Ambien) Indication

Insomnia

Zolpidem (Ambien) Side effect/Adverse reactions

Amnesia, daytime drowsiness

Zolpidem (Ambien) Assessment/ Implementation/ Evaluation

Assess mental status, sleep patterns, and potential for abuse prior to administration. Eval- relief of insomnia

Zolpidem (Ambien) Pt teaching

Because of rapid onset, advise pt to go to bed immediately. May cause daytime drowsiness.

About this deck

By: Christen Funk
Created: 2012-03-17
Size: 24 flashcards
Views: 3

About StudyBlue

“Simply amazing. The flash cards are smooth, there are many different types of studying tools, and there is a great search engine. I praise you on the awesomeness.”
Dennis