Questions and Answers
What is the trade name for Lorazepam?
What classification does Lorazepam fall under?
Anxiolytic, benzodiazepine, sedative-hypnotic
What is the FDA category for Lorazepam?
D/C-IV
What are the therapeutic uses of Lorazepam?
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How does Lorazepam work on a molecular level?
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Lorazepam can be administered __________.
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What are common side effects of Lorazepam?
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Lorazepam is contraindicated in __________.
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What nursing considerations should be taken when administering Lorazepam?
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What should be assessed before administering Lorazepam?
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What patient teaching should be provided regarding Lorazepam?
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Study Notes
Lorazepam Overview
- Generic name: Lorazepam; trade name: Ativan.
- Classified as an anxiolytic, benzodiazepine, and sedative-hypnotic.
FDA Classification
- Classified under D/C-IV, indicating controlled substance status.
Therapeutic Uses
- Effectively treats insomnia and relieves anxiety.
- Used to ease alcohol withdrawal symptoms.
Mechanism of Action
- Functions by binding to an allosteric site on GABA-A receptors, which are pentameric ionotropic receptors located in the central nervous system.
Dosage and Administration
- Available forms: Oral, intramuscular (IM), intravenous (IV), and rectal routes.
- Recommended intermittent dosing ranges from 2-6mg orally for optimal effect.
Common Side Effects
- Notable side effects include sedation, central nervous system (CNS) depression, confusion, depression, and nausea.
Contraindications and Interactions
- Contraindicated in pregnancy and individuals with sleep apnea.
Nursing Considerations
- Caution advised for patients with suicidal ideation; taper dosage gradually when discontinuing.
- Dosage adjustments are necessary for patients with hepatic or renal impairment.
- IM administration should be deep into the muscle; IV injections may lead to life-threatening side effects.
Pre-Administration Assessment
- Assess the nature of the patient's sleep disturbance and identify any underlying causes.
Patient Teaching
- Inform patients about the importance of sleep hygiene and recommend taking the medication with food.
- Advise reporting any blurred vision, chest pain, or fainting to healthcare providers.
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Description
This quiz provides essential information on Lorazepam, including its generic name, classification, FDA category, therapeutic uses, and mechanism of action. It serves as a great resource for students and professionals looking to reinforce their knowledge about this medication.
