NSG 349 Lecture Notes - Lecture 4: Central Nervous System Depression, Clonazepam, Lorazepam
Document Summary
Nsg 349 lecture notes on cns depressants & muscle relaxants. For sleep/relax , help induce anesthesia, some can produce sleep, slow down. Cns, treat seizures as it"s going on (does not prevent) Paradoxical excitement (excites cns works opposite), dizzy, slow down thinking, when stop taking them can have insomnia. Not true that if you stop taking it you will have seizures. Take every 3rd night not every single. No barbituates if asthma or other resp difficulty. No antidotes can only support them when overdose (airway/ventilation/oxygen) Anti-inflam meds and relaxant to make more comfortable (sometimes also pain meds) Can lead to euphoria, confusion, muscle weakness, diarrhea, headache, decrease bp, tachycardia. Priorities: fall risk, cognitive abilities, decrease bp (orthostatic bp), hr up (know baseline), Labs: cbc (for anemia), bun & creatinin (for kidney and liver function), Interventions: safety, blood serum quantities measure/blood draws (narrow window for od phenobarbital) Discharge: lowest use of med possible (because of addiction),
