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Diazepam (Valium) Nursing Considerations

Diazepam (Valium) Nursing Considerations

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Outline

Generic Name

Diazepam

Trade Name

Valium

Indication

Anxiety, pre-op sedation, conscious sedation, treatment of seizures, insomnia,
management of alcohol withdrawal

Action

Decreases the effects of voltage gated sodium channels to depresses the CNS

Therapeutic Class

Antianxiety agents, anticonvulsants, sedative/hypnotics, skeletal muscle relax-
ants (centrally acting)

Pharmacologic Class

Benzodiazepine

Nursing Considerations

• Contraindicated in hepatic dysfunction
• Use caution with renal impairment
• Can cause dizziness, drowsiness, lethargy, hypotension, physical depen-
dence, tolerance
• Instruct patient to take as directed
• Caution to avoid alcohol use
• Flumazenil (Romazicon) is the reversal agent

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Transcript

Hey guys, let’s talk about diazepam also known as Valium. This is an oral medication, as you can see here in the picture, but it also comes in other forms like an injectable form. So when we think about the therapeutic class of a drug, this is how the drug works in the body while the pharmacologic class is the chemical effect. So for diazepam’s therapeutic class, it’s an anti-anxiety agent, also an anti-convulsant a sedative-hypnotic, and a skeletal muscle relaxant that is centrally acting. The pharmacologic class of diazepam is a benzodiazepine. So diazepam works by decreasing the effects of voltage-gated sodium channels that depress the central nervous system. We use diazepam for anxiety for conscious sedation treatment of seizures, insomnia, and also alcohol withdrawal. So remember diazepam works by depressing the central nervous system. So it makes sense that some of the side effects include drowsiness and lethargy also hypotension and dizziness.

Let’s take a look at a few nursing considerations, use caution in patients with renal impairment and also in patients who have hepatic dysfunction. Super important to know that diazepam can cause physical dependence and tolerance. If administering diazepam, be sure that the reversal agent flumazenil or Romazicon is readily available. And guys, this is especially important if you work in the ER setting and you have a patient that comes in unresponsive and a drug overdose is suspected, especially if you do not the drug that may have been used. And finally, guys, because there is such a risk of dependence and tolerance, you must teach the patient to only take this medication as directed and to avoid alcohol use. That’s it for diazepam or Valium. Now go out and be your best self today. And as always happy nursing, the.

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Pharmacololgy/Dosage Calc

Concepts Covered:

Study Plan Lessons

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Metronidazole (Flagyl) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Nitro Compounds

Parasympatholytics (Anticholinergics) Nursing Considerations

Hydralazine (Apresoline) Nursing Considerations

Magnesium Sulfate

Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

Histamine 2 Receptor Blockers

HMG-CoA Reductase Inhibitors (Statins)

Corticosteroids

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Benzodiazepines

Calcium Channel Blockers

Parasympathomimetics (Cholinergics) Nursing Considerations

Cardiac Glycosides

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Atypical Antipsychotics

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Renin Angiotensin Aldosterone System

Basics of Calculations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Essential NCLEX Meds by Class

6 Rights of Medication Administration

The SOCK Method – Overview

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

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Sedatives-Hypnotics

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Meds for Postpartum Hemorrhage (PPH)

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Mood Stabilizers

Antianxiety Meds

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Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

ACLS (Advanced cardiac life support) Drugs

The SOCK Method – Overview

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

The SOCK Method – S

Complex Calculations (Dosage Calculations/Med Math)

IV Infusions (Solutions)

Injectable Medications

Oral Medications

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Basics of Calculations

Pharmacokinetics

Pharmacodynamics

NG Tube Medication Administration

Disease Specific Medications

Proton Pump Inhibitors

Anti-Infective – Penicillins and Cephalosporins

Parasympatholytics (Anticholinergics) Nursing Considerations

Nitro Compounds

Magnesium Sulfate

HMG-CoA Reductase Inhibitors (Statins)

Histamine 2 Receptor Blockers

Histamine 1 Receptor Blockers

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Corticosteroids

Cardiac Glycosides

Calcium Channel Blockers

Benzodiazepines

Autonomic Nervous System (ANS)

Atypical Antipsychotics

Angiotensin Receptor Blockers

ACE (angiotensin-converting enzyme) Inhibitors

Renin Angiotensin Aldosterone System

6 Rights of Medication Administration

Essential NCLEX Meds by Class

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

54 Common Medication Prefixes and Suffixes

12 Points to Answering Pharmacology Questions

Pharmacology Course Introduction