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Drug Study - Midazolam

Midazolam was administered orally to a client prior to a procedure. Midazolam works by enhancing the effects of GABA in the brain to produce sedation, anxiolysis, hypnosis, and amnesia. Common side effects include decreased respiratory rate, hypotension, and paradoxical CNS reactions. The client's anxiety decreased after administration and he fell asleep 15 minutes later. Nursing responsibilities include checking the order, monitoring vital signs and sedation level, and educating the client not to take midazolam with grapefruit juice.

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Kian Herrera
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11K views2 pages

Drug Study - Midazolam

Midazolam was administered orally to a client prior to a procedure. Midazolam works by enhancing the effects of GABA in the brain to produce sedation, anxiolysis, hypnosis, and amnesia. Common side effects include decreased respiratory rate, hypotension, and paradoxical CNS reactions. The client's anxiety decreased after administration and he fell asleep 15 minutes later. Nursing responsibilities include checking the order, monitoring vital signs and sedation level, and educating the client not to take midazolam with grapefruit juice.

Uploaded by

Kian Herrera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ROUTE,

DATE DOSAGE
NAME OF MECHANISM INDICA- CONTRA- SIDE CLIENT’S NURSING
ADMINIS AND
DRUG OF ACTION TION INDICATION EFFECTS RESPONSE RESPONSIBILITIES
-TERED FRE-
QUENCY
Generic name: May 6, Midazolam Enhances action Sedation  Hypersensitivity Frequent The client’s Before Administration:
 midazolam 2021 15 mg/tab of gamma- and to midazolam. (10%4%): anxiety level  Check the doctor’s
half tablet aminobutyric anxiolytic  Acute narrow-  Decreased has decreased order.
Brand name: PO with acid (GABA), before angle glaucoma respiratory as he appeared  Observe for the 12
 Dormicum minimal one of the major procedure.  Concurrent use of rate more relaxed rights of drug
sip of inhibitory potent CYP3A4  Tenderness at after the administration.
Classification: water 2 neuro- inhibitors. IM or IV administration  Resuscitative
Pharmaco- hours prior transmitters in injection site . He equipment, oxygen
therapeutic: to OR the brain. Cautions:  Pain during eventually fell must be available.
 Benzodiazepine  Renal/ hepatic/ injection asleep after 15  Obtain vital signs
Therapeutic pulmonary  Oxygen minutes. before administration.
Clinical: Effect: impairment desaturation Assess level of
 Sedative, Produces  Impaired gag  Hiccups After 2 hours, consciousness.
antianxiety anxiolytic, reflex during the
agent hypnotic,  HF arrival to OR, During Administration:
Occasional
anticonvulsant, the client
 Treated open- (3%2%):
muscle relaxant, appeared  Administer with
Pregnancy angle glaucoma  Hypotension
amnestic drowsy but minimal sip of water.
category: D  Obese pts  Paradoxical
effects. can follow the  Dispense directly into
 Concurrent CNS CNS reaction mouth.
commands
depressants
given.
 Alcohol Rare (less After Administration:
dependency than 2%):
 Elderly pts  Nausea  During the transfer to
 Debilitated pts.  Vomiting the OR, raise the side
 Headache rails of the stretcher
for safety.
 Coughing
 Monitor blood
pressure, vital signs,
serum electrolytes,
I&O, weight. Note
extent of diuresis.
 Monitor respiratory
rate, oxygen saturation
continuously during
parenteral
administration for
underventilation,
apnea.
 Monitor vital signs,
level of sedation q3–
5min during recovery
period.
 Assess level of
consciousness for
effectiveness.

Client/Family
Education:
 Do not mix with any
liquid (grapefruit
juice) prior to
dispensing.

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