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    Librium Chlordiazepoxide

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    This document provides information about the medication chlordiazepoxide (Librium) including its classification, dose, route of administration, time/frequency, peak onset and duration, mechanism of action, nursing implications, interactions, and the nursing process for assessment and administration. It indicates chlordiazepoxide is a benzodiazepine antianxiety agent prescribed for anxiety. Nursing focuses include monitoring for side effects like dizziness and sedation, evaluating liver function periodically, educating patients on tapering use and fall risk reduction, and assessing anxiety levels before and after administration.

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    Librium Chlordiazepoxide

    Uploaded by

    E
    2K views2 pages
    This document provides information about the medication chlordiazepoxide (Librium) including its classification, dose, route of administration, time/frequency, peak onset and duration, mechanism of action, nursing implications, interactions, and the nursing process for assessment and administration. It indicates chlordiazepoxide is a benzodiazepine antianxiety agent prescribed for anxiety. Nursing focuses include monitoring for side effects like dizziness and sedation, evaluating liver function periodically, educating patients on tapering use and fall risk reduction, and assessing anxiety levels before and after administration.

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    This document provides information about the medication chlordiazepoxide (Librium) including its classification, dose, route of administration, time/frequency, peak onset and duration, mechanism of action, nursing implications, interactions, and the nursing process for assessment and administration. It indicates chlordiazepoxide is a benzodiazepine antianxiety agent prescribed for anxiety. Nursing focuses include monitoring for side effects like dizziness and sedation, evaluating liver function periodically, educating patients on tapering use and fall risk reduction, and assessing anxiety levels before and after administration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views2 pages

    Librium Chlordiazepoxide

    Uploaded by

    E
    This document provides information about the medication chlordiazepoxide (Librium) including its classification, dose, route of administration, time/frequency, peak onset and duration, mechanism of action, nursing implications, interactions, and the nursing process for assessment and administration. It indicates chlordiazepoxide is a benzodiazepine antianxiety agent prescribed for anxiety. Nursing focuses include monitoring for side effects like dizziness and sedation, evaluating liver function periodically, educating patients on tapering use and fall risk reduction, and assessing anxiety levels before and after administration.

    Copyright:

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    Download as doc, pdf, or txt
    of 2

    NURS 1566 Clinical Form 3: Clinical Medications Worksheets

    (You will need to make additional copies of these forms)

    Generic Name Trade Name Classification Dose Route Time/frequency


    chlordiazepoxide Librium Benzodiazepines 5 mg PO/NG tube BID PRN
    antianxiety agents
    Peak Onset Duration Normal dosage range
    0.5-4 hr 1-2 hr up to 24 hr 5 mg 2-4 times daily initially

    Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
    anxiety solutions
    n/a

    Mechanism of action and indications Nursing Implications (what to focus on)


    (Why med ordered) Contraindications/warnings/interactions
    Depresses the CNS, probably by potentiating Hypersensitivity, those with pre-existing CNS depression,
    GABA, an inhibitory neurotransmitter Long--acting benzodiazepines cause prolonged sedation in
    the elderly. Appears on Beers list and is associated with
    increased risk of falls (↓ dose required or consider short-
    acting benzodiazepine.)
    Common side effects
    Dizziness, drowsiness

    Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
    herbal medicines (ask patient specifically) Patients on prolonged therapy should have CBC and liver
    antidepressants , antihistamines , and opioid function tests evaluated periodically. May cause an
    analgesics --concurrent use results in additive CNS increase in serum bilirubin, AST, and ALT, May alter
    depression results of urine 17-ketosteroids and 17-ketogenic steroids.
    May cause decreased response on metyrapone tests and
    decreased thyroidal uptake of 123I and 131I
    Be sure to teach the patient the following about this
    medication
    Instruct patient to take chlordiazepoxide exactly as
    directed. If medication is less effective after a few weeks,
    check with health care professional; do not increase dose.
    Medication should be tapered at the completion of long-
    term therapy. Sudden cessation of medication may lead to
    withdrawal (insomnia, irritability, nervousness, tremors),
    Instruct patient and family how to reduce falls risk at
    home.
    Nursing Process- Assessment Assessment Evaluation
    (Pre-administration assessment) Why would you hold or not give this Check after giving
    Assess patient for anxiety and level of med? Decreased sense of anxiety
    sedation (ataxia, dizziness, slurred speech) Pt. shows signs of intolerable side Increased ability to
    periodically throughout therapy, Assess effects (excessive sedation) cope
    risk of falls and institute fall prevention
    strategies.

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