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Lorazepam (Ativan)

The document provides information on the generic and trade names, classification, dosing, and administration of lorazepam (Ativan), including its peak onset and duration, mechanisms of action as an antianxiety and sedative/hypnotic agent, nursing implications focusing on contraindications and side effects, interactions with other drugs, and pre- and post-administration assessments in the nursing process.

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5K views1 page

Lorazepam (Ativan)

The document provides information on the generic and trade names, classification, dosing, and administration of lorazepam (Ativan), including its peak onset and duration, mechanisms of action as an antianxiety and sedative/hypnotic agent, nursing implications focusing on contraindications and side effects, interactions with other drugs, and pre- and post-administration assessments in the nursing process.

Uploaded by

E
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd
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INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)


Generic Trade Classification Dose Route Time/Frequency
Name Name Anesthetic adjuncts 44mcg IV 15-20 min before surgery
lorazepam Ativan antianxiety agents 1-3mg PO 2-3 times daily
sedative/hypnotics 2-4mg PO at bedtime
Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
PO 1-6 hr 15-60 min 8-12 hr
IV 15-20 min 15-30 min 8-12 hr
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)


Adjunct management of anxiety or insomnia. Preoperative Contraindications/warnings/interactions
sedation. Decreases preoperative anxiety and provides Comatose patients, pre-exisiting CNS depression. Uncontrolled severe
amnesia pain. Narrow-angle glaucoma, severe hypotension, pregnancy
Use cautiously: Severe hepatic/renal/pulmonary impairment. Myasthenia
gravis. History of suicide attempt or drug abuse
Depresses the CNS, probably by potentiating GABA, an Common side effects
inhibitory neurotransmitter Dizziness, drowsiness, lethargy, hangover headache, mental depression,
blurred vision, respiratory depression, constipation
diarrhea, nausea, vomiting, apena, cardiac arrest, bradycardia
hypotension, rashes

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
Additive CNS depression with other CNS depressants
including alcohol, antihistamines, antidepressants, opioid
analygesics, and other sedative/hypnotics Be sure to teach the patient the following about this medication
Take medication exactly as directed, avoid driving, taking alcohol,
or other CNS depressants, follow-up exams

Nursing Process - Assessment Assessment Evaluation


(Pre-administration assessment Why would you hold or not give Check after giving
Anxiety, Status Epilepticus this med? Increase in sense of well-being
Vital Signs Apena, cardiac arrest Reduction of preoperative anxiety
Postoperative amnesia
Improvement of sleep patterns

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