Temazepam (Restoril)

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INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)


Generic Trade Classification Dose Route Time/Frequency
Name Name
temazepam Restoril Sedative-hyponotic 15mg PO hs

Peak Onset Duration Normal Dosage Range


15-30mg hs
2-3hr 30-45 minutes 6-8 hours
Why is your patient taking this medication? For IV meds, compatability with IV drips and/or solutions

Mechanism of action and indications Nursing Implications (what to focus on)


sedation, hyposis, skeletal muscle relaxation, Contraindications/warnings/interactions Pregnancy, hypersensitivity to
anticonvulsant activity, anxiolytic action benzodiazepines, lactation, intermittent. Caution with anemia,
Insomnia hepatic disease, renal disease, suicidal individuals, drug abuse, elderly,
psychosis, children <15 year, acute narrow-angle glaucoma, seizure
disorders
Act at many levels in the CNS, producing generalized Common side effects
depression. Effects may be mediated by GABA, an lethargy, drowsiness, daytime sedation, dizziness, confustion, light-headedness,
inhibitory neurotransmitter. headache, anxiety, irritability, chest pain, pulse changes, nausea, vomiting,
diarrhea, heartburn, abdominal pain, constipation, anorexia

Interactions with other patient drugs, OTC, or herbal Lab value alterations caused by medicine
medicines (ask patient specifically)
alcohol; antidepressants; antihistamines; opioid analgesics;
sedative/hypnotics; levodopa; rifampin; smoking; probenecid
theophylline. Be sure to teach the patient the following about this medication
Avoid driving, avoid alcohol ingestion, effects may take 2 nights for benefits to
be noticed, try other measures to improve sleep (reading, exercise several hours
before bedtime, warm bath, warm milk, TV, self-hypnosis, deep breathing),
hangover, memory impairment are common in elderly

Nursing Process - Assessment Assessment Evaluation


(Pre-administration assessment) Why would you hold or not give Check after giving
Assess sleep patterns; CNS effects; this med?
Mental status: mood, memory (Long/short term) drowsiness; lethargy; CNS depression; Ability to sleep at night, decreased early
fever, sore throat, bruising, rash, jaundice, morning awakening if taking drug for
epitaxis, insomnia

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