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Class
Tranquilizer (benzodiazepine)
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Description
Diazepam is benzo that is frequently used as a sedative, hypnotic, and anticonvulsant
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Mechanism of Action
Benzo that binds to specific sites on gamma-aminobutyric acid (GABA) type A receptors within the brain. GABA is the major inhibitory neurotransmitter of the central nervous system. Increased GABA levels cause sedation.
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Onset
- Onset: IV 1-5min / IM 15-30min
- Peak: IV 10min / IM 30-45min
- Duration: 15-60min
- Half Life: 20-50 hours
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Indications
Major motor seizures, Status epilepticus, Premedication before cardioversion, skeletal muscle relaxant, and Acute anxiety relaxant
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Contraindications
Pt’s with hx of hypersensitivity to the drug, Hypotension
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Precautions
Can cause local venous irritation, has short duration of effect, Do not mix with other drugs because they are incompatible with other medications
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Side Effects
amnesia, apnea,blurred vision, drowsiness, hallucinations, tachycardia, headache, hypotension, nausea, respiratory depression, vomiting
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Dose
- Adult: Status epilepticus 5-10 mg (IV), Acute anxiety 2-5mg (IM) or (IV),Premedication before cardioversion 5-15 mg
- Pedi: Status epilepticus 0.1-0.2mg/kg
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Routes of Administration
IV (take care not to administer faster than 1ml/min) IM
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