Clonazepam Drug Card 171a51

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Clonazepam Peak 1-2 hr

Trade Name Rivotril, Klonipin Onset 20-60 min

Classification Dose Route Time/frequency Anticonvulsants, 1 mg PO HS prn benzodiazepines Duration Normal dosage range 6-12 hr 0.5 mg bid, may increase by 0.5 – 1 mg q 3rd day, not to exceed 20 mg.

Why is your patient getting this medication Insomnia

For IV meds, compatibility with IV drips and/or solutions

Mechanism of action and indications (Why med ordered) – Prophylaxis of: petit mal, Akinetic, myoclonic seizures, panic disorder with or without agoraphobia. Uncontrolled leg movements during sleep, Neuralgias, sedation, adjunct management of acute mania, acute psychosis or insomnia. Anticonvulsive effects may be due to presynaptic inhibition. Produces sedative effects in the CAN, probably by stimulating inhibitory GABA receptors,

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, severe liver disease

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Opioid analgesics such as Fentanyl results in increased CNS depression, Metoprolol. Kava kava, valerian, or chamomile.

Nursing Process- Assessment (Pre-istration assessment) assess degree of mental status (orientation, mood, behavior). Drowsiness, unsteadiness and clumsiness. These symptoms are dose related and most severe during initial therapy, may decrease in severity or disappear with continued or long-term therapy.

Common side effects Behavioral changes, drowsiness, ataxia

Lab value alterations caused by medicine May increase serum bilirubin, AST and ALT. Dec thyroidal uptake of sodium iodide. Be sure to teach the patient the following about this medication Take with food, ister largest dose at bedtime, abrupt withdrawl may cause status epilepticus, tremors, n/v and abdominal and muscle cramps, may cause drowsiness, notify Dr. if unusual tiredness, bleeding, sore throut, fever, clay-colored stools, yellowing of skin, or behavioral changes. Assessment Evaluation Why would you hold or not give this med? Check after giving Unusual tiredness, bleeding, sore throut, fever, Relief of leg movements during clay-colored stools, yellowing of skin, or sleep, decrease in pain from behavioral changes. neuralgia.