2. Disturbed sleep pattern related to situational crises, physical Elderly or debilitated patients and patients with hepatic impairmentInsomnia: 1. related to each side effect are designated by an asterisk ():ing side effects from sedative-hypnotics. Nursing implications The nursing care plan should include monitoring for the follow- ZOLPIDEM● 3. Risk for activity intolerance related to side effects of lethargy, 4. Risk for acute confusion related to action of the medication ● 1. Risk for injury related to abrupt withdrawal from long-term bedtime. POtablets: FOR SEDATIVE-HYPNOTICSon the central nervous system. NURSING IMPLICATIONS drowsiness, and dizziness.Drowsiness, dizziness, lethargy (most common side NURSING DIAGNOSES RELATED TO ALL SEDATIVE-HYPNOTICSeffects) use or decreased mental alertness caused by residual sedation.condition, or severe level of anxiety. Instruct client not to drive or operate dangerous machin-: 5 mg at bedtime. 12.5 mg at bedtime.^ (Ambien)^ Adults: PO: 10 mg at bedtime. Extended-release tablets: Sedative-Hypnotics Extended-release 6.25 mg at ●^519 :
2506_Ch30_511-521.indd Sec2:519 2506 Ch 30 511 - 521 .indd 2. S^ 3.^ 5.^ 4.^ ec 2 Orthostatic hypotension, palpitations, tachycardiaPotentiates the effects of other CNS depressantsTolerance, physical and psychological dependenceMay aggravate symptoms in depressed persons*****: Instruct client not to drink alcohol or take other medica- Monitor lying and standing blood pressure and pulse Take necessary precautions for potential suicide. Assess mood daily. 5 Instruct client to take the medication exactly as directed. 1 every shift.may result in serious, even life-threatening, symptoms. Exception: of the habit-forming potential. Recommended for short-tions that depress the CNS while taking this medication. 9 term use only. Abrupt withdrawal after long-term use abuse or dependence. It is not classifiDo not take more than the amount prescribed because substance. It has, however, been associated with cases of rebound insomnia after abrupt discontinuation following long-term use. ery while taking the medication. Ramelteon is not considered to be a drug of ed as a controlled 1 10/1/10 9:40:41 AM 0 / 1 / 10 9 : 40 : 41 AM