Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Sedative-HypnoticsC HAPTER^30

511

● ● ● Contraindications and Precautions: Contraindicated in:and sleep apnea • (zodiazepines • Pregnancy and lactation • Respiratory depression ActionExamplesTriazolam Generic Flurazepam Quazepam NameEstazolam(Trade) Temazepam The sedative effects involve GABA receptors in the limbic, neocortical, and mesencephalic reticular systems. inhibition Potentiate gamma-aminobutyric acid (GABA) neuronal (Halcion)(Restoril)(Doral)(Dalmane)CHEMICAL CLASS: BENZODIAZEPINESCIV/XPregnancy Controlled/CategoriesCIV/XCIV/XCIV/(Contraindicated CIV/Xin pregnancy)Tr i az ol a m) • Hypersensitivity to these or other ben-2–3 (active 41 (active 9–15(hr)Half-life 8–281.5–5.5: concurrent use with ketoconazole, metabolite, 47–100)47–100)metabolite, ●●Indications●●● (^) InsomniaInsomniaInsomniaInsomniaInsomnia Forms (mg)Available Caps: 7.5, 15, Tabs: 0.125, 0.25Tabs: 1, 2Tabs: 7.5, 15Caps: 15, 3022.5, 30

2506_Ch30_511-521.indd Sec2:511 2506 Ch 30 511 - 521 .indd itraconazole, or nefazodone, medications that impair the metabo-triazolam): SUse Cautiously in:Children younger than age 15 • or renal dysfunction • Patients with history of drug abuse and dependence • Depressed or suicidal patients lism of triazolam by cytochrome P450 3A (CYP3A) • ec 2 : 511 Children younger than age 18 • Elderly and debilitated patients • Hepatic (Estazolam, quazepam, temazepam, (Flurazepam):^1 10/1/10 9:40:37 AM 0 / 1 / 10 9 : 40 : 37 AM