Drug Card Ambien 4npe

NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name Ambien zolpidem

Classification sedative/hypnotics

Peak

Onset

Duration

30 min-2 hr

rapid

6-8 hr

Dose 10 mg

Route PO

Time/frequency HS (may repeat once)

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

Mechanism of action and indications (Why med ordered)

Nursing Implications (what to focus on) Contraindications/warnings/interactions

Insomnia, Produces CNS depression by binding to GABA receptors, Sedation and induction of sleep

Hypersensitivity, Sleep apnea, History of previous psychiatric illness, suicide attempt, drug or alcohol abuse, OB, Pedi: Pregnancy, lactation, or children (safety not established)

Common side effects CNS: amnesia, daytime drowsiness, dizziness, "drugged" feeling, GI: diarrhea, nausea, vomiting, Misc: hypersensitivity reactions, physical dependence, psychological dependence, tolerance,

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) ↑ CNS depression may with sedative/hypnotics , alcohol, phenothiazines, tricyclic antidepressants , opioid analgesics , or antihistamines

Lab value alterations caused by medicine none Be sure to teach the patient the following about this medication Tablets should be swallowed whole with full glass of water. For faster onset of sleep, do not ister with or immediately after a meal, May cause daytime drowsiness or dizziness. Advise patient to avoid driving or other activities requiring alertness until response to this medication is known, Caution patient to avoid concurrent use of alcohol or other CNS depressants

Nursing Process- Assessment (Pre-istration assessment) Assess mental status, sleep patterns, and potential for abuse prior to istration. Prolonged use of >7-10 days may lead to physical and psychological dependence. Limit amount of drug available to the patient

Assessment Why would you hold or not give this med? Assess patient for pain. Medicate as needed. Untreated pain decreases sedative effects

Evaluation Check after giving Relief of insomnia Assess alertness at time of peak effect. Notify physician or other health care professional if desired sedation does not occur