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Lorazepam (Ativan) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

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Outline

Generic Name

lorazepam

Trade Name

Ativan

Indication

anxiety, sedation, seizures

Action

general CNS depression by potentiating inhibitory neurotransmitters

Therapeutic Class

anesthetic adjuncts, antianxiety agents, sedative hypnotics

Pharmacologic Class

Benzodiazepine

Nursing Considerations

• use caution with COPD and sleep apnea
• avoid alcohol use
• antidote is Flumazenil (Romazicon)
• may cause apnea, cardiac arrest, bradycardia, hypotension
• use caution with other CNS depressants
• administer slowly and dilute to decrease complications

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Transcript

Okay, let’s take a look at lorazepam. Also known as Avan. This is an oral medication, as you can see here, and it also comes in other forms like IV and IM injections. So remember when we talk about the therapy class of a drug, we are talking about how the drug works in the body and the pharmacologic class is the chemical effect of the drug. So for lore, the therapeutic class, it’s an anesthetic agent, an anti-anxiety agent, and also a sedative or hypnotic. The pharmacologic class is a benzo a so LOPA works by general CNS depression by potentiating, inhibitory, neurotransmitters, which is why we use it for the treatment of anxiety also for sedation and for seizures.

So remember, LoRa am causes CNS depression. So because of this, we can see some side effects like apnea, hypertension, and bradycardia. Let’s take a look at a few nursing considerations for lorazepam use caution. If the patient is also on other CNS suppressants, if they have C U P D or if they have sleep apnea, if administering lorazepam in the IV form, make sure you are administering it slowly and also dilute the medication to decrease complications. And guys lorazepam may cause cardiac arrest. The antidote for lorazepam is flu or Ramon, but guys, this should be given slowly because rapid reversal can actually lead to seizures.

Be sure to teach the patient, to use lorazepam exactly as directed and to avoid alcohol use because it can cause excessive sedation. Guys. It’s important to know that lorazepam is addictive. So it’s critical that your patient understands this and only takes it as prescribed. Also the IV form of lorazepam contains something called propylene glyco at small doses. This really isn’t an issue, but at large doses, if the patient can’t excrete this properly, if they have maybe renal and sufficiency, it can lead to things like seizures, lactic, acidosis, and respiratory depression. And in rare cases, it can actually cause death. That’s it for lorazepam or Ativan now go out and be best self today. And as always happy nursing.

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Concepts Covered:

Study Plan Lessons

02.02 Cardiomyopathy for CCRN Review

02.03 Swan-Ganz Catheters for CCRN Review

02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review

02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review

02.14 Shock Stages for CCRN Review

02.16 Cardiogenic Shock for CCRN Review

02.17 Septic Shock for CCRN Review

03.03 Hypoglycemia for CCRN Review

06.05 Wide Complex Tachycardia for CCRN Review

ACE (angiotensin-converting enzyme) Inhibitors

Acetaminophen (Tylenol) Nursing Considerations

ACLS (Advanced cardiac life support) Drugs

Acute Coronary Syndrome (ACS)

Acute Coronary Syndrome for Certified Emergency Nursing (CEN)

Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)

Acute Kidney Injury Case Study (60 min)

Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)

Addicted Newborn

Adenosine (Adenocard) Nursing Considerations

Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)

Advanced Cardiovascular Life Support (ACLS)

Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)

Amputation for Certified Emergency Nursing (CEN)

Anemia for Progressive Care Certified Nurse (PCCN)

Aneurysm and Dissection for Certified Emergency Nursing (CEN)

Angiotensin Receptor Blockers

Anti Tumor Antibiotics

Anti-Infective – Antifungals

Anti-Infective – Fluoroquinolones

Antidepressants

Antidepressants

Antineoplastics

Arterial Pressure Monitoring

Aspiration for Certified Emergency Nursing (CEN)

Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)

Atrial Fibrillation (A Fib)

Autonomic Nervous System (ANS)

AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)

AVPU Mnemonic (The AVPU Scale)

Benzodiazepines

Blood Flow Through The Heart

Blood Pressure (BP) Control

Blood Salvage Transfusion Anticipation for Certified Perioperative Nurse (CNOR)

Blunt Thoracic Trauma

Body System Assessments

Brain Natriuretic Peptide (BNP) Lab Values

Bronchodilators

Burns for Certified Emergency Nursing (CEN)

Calcium Acetate (PhosLo) Nursing Considerations

Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)

Calcium Carbonate (Tums) Nursing Considerations

Calcium Channel Blockers

Calcium-Ca (Hypercalcemia, Hypocalcemia)

Cardiac (Heart) Disease in Pregnancy

Cardiac (Heart) Enzymes

Cardiac (Heart) Physiology

Cardiac A&P Module Intro

Cardiac Anatomy

Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)

Cardiac Course Introduction

Cardiac Glycosides

Cardiac Labs – What and When to Use Them – Live Tutoring Archive

Cardiac Labs – What and When to Use Them 2 – Live Tutoring Archive

Cardiac Stress Test

Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)

Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)

Cardiac Terminology

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

Cardiac/Vascular Catheterization (Diagnostic, Interventional) for Progressive Care Certified Nurse (PCCN)

Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)

Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)

Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)

Cardiopulmonary Arrest

Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)

Cardiovascular Trauma for Certified Emergency Nursing (CEN)

Cerebral Metabolism

Chemotherapy Patients

Cirrhosis for Certified Emergency Nursing (CEN)

Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)

Congenital Heart Defects (CHD)

Congestive Heart Failure (CHF) Labs

Congestive Heart Failure Concept Map

Coronary Artery Disease Concept Map

Creatine Phosphokinase (CPK) Lab Values

Critical Thinking

Cushing’s Syndrome Case Study (60 min)

Day in the Life of a Med-surg Nurse

Day in the Life of a NICU Nurse

Defects of Decreased Pulmonary Blood Flow

Defects of Increased Pulmonary Blood Flow

Digoxin (Lanoxin) Nursing Considerations

Disease Specific Medications

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

Dobutamine (Dobutrex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Dysrhythmia Emergencies

Dysrhythmias for Certified Emergency Nursing (CEN)

Dysrhythmias Labs

Echocardiogram (Cardiac Echo)

Electrical A&P of the Heart

Electrical Activity in the Heart

Electrolyte Imbalances for Progressive Care Certified Nurse (PCCN)

Electrolytes Involved in Cardiac (Heart) Conduction

Endocarditis Case Study (45 min)

Endocarditis for Certified Emergency Nursing (CEN)

Envenomation Emergencies for Certified Emergency Nursing (CEN)

Epinephrine (EpiPen) Nursing Considerations

General Anesthesia

GERD (Gastroesophageal Reflux Disease)

Heart (Cardiac) and Great Vessels Assessment

Heart (Cardiac) Failure Module Intro

Heart (Cardiac) Failure Therapeutic Management

Heart (Cardiac) Sound Locations and Auscultation

Heart (Heart) Failure Exacerbation

Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)

Heart Failure Case Study (45 min)

Heart Failure for Certified Emergency Nursing (CEN)

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)

Hemorrhagic Fevers for Certified Emergency Nursing (CEN)

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)

Hyperkalemia – Management Nursing Mnemonic (AIRED)

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)

Hypertensive Crisis Case Study (45 min)

Hyperthyroidism Case Study (75 min)

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

Hypoparathyroidism

Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)

Hypovolemic Shock Case Study (OB sim) (60 min)

Influenza for Certified Emergency Nursing (CEN)

Intake and Output (I&O)

Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)

Intraoperative Positioning

Invoicing Process

Lactate Dehydrogenase (LDH) Lab Values

Lorazepam (Ativan) Nursing Considerations

Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)

Malignant Hyperthermia

Marfan Syndrome

Maternal Risk Factors

Meds for Postpartum Hemorrhage (PPH)

Meds for PPH (postpartum hemorrhage)

MI Surgical Intervention

Midazolam (Versed) Nursing Considerations

Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)

Mixed (Cardiac) Heart Defects

Muscle Anatomy (anatomy and physiology)

Muscle Cytology

Musculoskeletal Terminology

Myocardial Infarction (MI) Case Study (45 min)

Myoglobin (MB) Lab Values

Neurogenic Shock for Certified Emergency Nursing (CEN)

Newborn Physical Exam

Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)

Norepinephrine (Levophed) Nursing Considerations

Nursing Care and Pathophysiology for Anaphylaxis

Nursing Care and Pathophysiology for Cardiogenic Shock

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Gonorrhea (STI)

Nursing Care and Pathophysiology for Heart Failure (CHF)

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care and Pathophysiology for Hypovolemic Shock

Nursing Care and Pathophysiology for Ischemic Stroke (CVA)

Nursing Care and Pathophysiology for Myasthenia Gravis

Nursing Care and Pathophysiology for Pneumothorax & Hemothorax

Nursing Care and Pathophysiology for Pulmonary Edema

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Nursing Care and Pathophysiology for Valve Disorders

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

Nursing Care and Pathophysiology of Endocarditis and Pericarditis

Nursing Care and Pathophysiology of Hypertension (HTN)

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Nursing Care and Pathophysiology of Myocarditis