Diazepam (Valium)

Question 1

Valium Classification

Answer 1

Anticonvulsant, anti-anxiety, sedative

Question 2

Valium action

Answer 2

Depresses CNS

Question 3

Valium onset and duration

Answer 3

1. 1-5min, peak 5-10min

2. 15-60 min

Question 4

Valium indications

Answer 4

1. Seizures secondary to head trauma or alcohol withdrawal
2. Status epilepticus
3. Prior to pacing, cardioversion, and RSI for relief of anxiety, tension, and for amnesiac effect
4. Envenomations resulting in muscle spasm
5. Severe anxiety

Question 5

Valium contraindications

Answer 5

Patients that have used other CNS despressants

Question 6

Valium cautions

Answer 6

1. Elderly
2. Decreased pulmonary function
3. Renal or hepatic disease
4. History of drug addiction

Question 7

Valium Dosage and Administration

Answer 7

Adult: 2-10mg IV/IO/IM
Pediatric: .02mg/kg IV/IO in increments no greater than 2mg to max dose of 10mg. Wait 1-2 min between doses. Rectally, .05mg/kg to a max dose of 20mg. Wait 5 min between doses. Contact MBCH for repeat doses

Question 8

Valium Adverse Reaction

Answer 8

1. CNS Depression, Ataxia, Drowsiness, Fatigue, Dizzy, Transient Hypotension, Respiratory Depression
2. Venous thrombosis and pain at the injection site

Question 9

Valium Reference in Protocol

Answer 9

Traumatic (seizures, burns)
Cardiac 
Medical (ALOC- active seizure)
Environmental (Envenomations)
Behavioral (Violent Pt)
RSI