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DIAZEPAM VALIUM
CLASS
BENZO
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DIAZEPAM VALIUM
MOA
- By intensifying the activity of GABA, it suppresses the spread of
- seizure activity through the motor cortex of the brain.
- It is effective in the management of stress, anxiety, and alcohol withdrawal due
- to its sedative properties.
- Additionally, it is effective as a
- premedication for minor orthopedic procedures due to its skeletal
- muscle relaxant properties,
- and as a premedication for
- cardioversion because it produces amnesia.
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DIAZEPAM VALIUM
INDICATION
1Seizures (status epilepticus)
2To induce sedation prior to painful procedures
3Acute anxiety
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DIAZEPAM VALIUM
CONTRA INDICATION
Known hypersensitivity,
acute alcohol intoxication
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DIAZEPAM VALIUM
PRECAUTION
Can cause local irritation, therefore, use large vein when possible
- Seizure activity may reoccur due to its lipid solubility
- Use with caution in patients with myasthenia gravis,
- impaired renal or hepatic function, obstetrical patients, and the elderly
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DIAZEPAM VALIUM
SIDE EFFECTS
HD TA ASS EH DNV BV RD
- Hypotension, drowsiness,
- tachycardia, ataxia,
- amnesia, slurred speech,
- edema, headache,
- dizziness, N/V,
- blurred vision, respiratory depression
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DIAZEPAM VAL
INTERACTIONS
Effects are enhanced when used in conjunction with
other CNS depressants and alcohol
Cimetidine may increase diazepam plasma levels
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DIAZEPAM VAL
D&R
Adult: 5 mg IVP, may repeat at 2.5 mg q 5 minutes prn, max 10 mg
Pedi: 0.1 - 0.25 mg/kg IV/IO, maximum single dose 5 mg
- 0.5 mg/kg PR, maximum single dose 10 mg
- may repeat once after 5 minutes
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Onset = 1 - 5 minutes IV
Half-life = 20 - 50 hours
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DIAZEPAM
NOTE:
ANTAGONIST
FLUMAZENIL
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