NURS 1566 Clinical Form 3: Clinical Medications Worksheets(You will need to make additional copies of these forms)

Generic Namelorazepam

Trade NameAtivan

ClassificationBenzodiazepinesantianxiety agents, sedative/hypnotics

Dose1mg

RoutePO

Time/frequencyQ 4 hr. PRN nerves

Peak1-6 min 

Onset15-60 min 

Duration8-12 hr

Normal dosage range44mcg/kg (not to exceed 2mg)

Why is your patient getting this medicationmanagement of anxiety, pain

For IV meds, compatibility with IV drips and/or solutionsN/A

Mechanism of action and indications(Why med ordered)Depresses the CNS, probably by potentiating GABA, an inhibitory neurotransmitterIndicated for patients with anxiety

Nursing Implications (what to focus on) Contraindications/warnings/interactionsHypersensitivity, Cross-sensitivity with other benzodiazepines may exist. Lower doses recommended for geriatric or debilitated patients.Common side effectsdizziness, drowsiness, lethargy, apnea, cardiac arrest

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)None for this pt

Lab value alterations caused by medicinePatients on high-dose therapy should receive routine evaluation of renal, hepatic, and hematologic functionBe sure to teach the patient the following about this medicationMay cause drowsiness or dizziness

Nursing Process- Assessment(Pre-administration assessment)Assess degree and manifestations of anxiety prior to and periodically throughout therapy

AssessmentWhy would you hold or not give this med?Troublesome occurrence of adverse side effects

EvaluationCheck after givingDecrease in subjective feelings of anxiety without excessive sedation