Drug Interactions: alcohol, CNS depressants

Nursing Interventions: First use nonpharmacologic methods, take 15-45 minutes before bedtime, report hangover effect, avoid alcohol, monitor VS and withdrawal symptoms

General:

Purpose: analgesia, muscle relaxation, loss of consciousness, amnesia

Local:

Purpose: analgesia in limited area

Routes:

Inhalation: absorbed, eliminated quickly

IV: rapid onest, short duration

Topical: put on mucous membrane

Local: injected at site

Spinal: injected at 3rd to 4th lumbar (epidural); main side effect is headache; lay patient flat 6 to 8 hours after spinal

Anesthetics

Balanced anesthesia:

Hypnotic: Zolpidem (Ambien)

Narcotic analgesic or bensodiazepine: Morphine or Midazolam (Versed)

Anticholingeric: Atropine

Barbiturate: Thiopental sodium (Pentothal)

Muscle Relaxant: Succinycholine (Anectine)

Side Effects: respiratory depression, hypotension, dysrhythmias, hepatic dysfunction

Nursing Interventions: montior the following in patient: LOC, VS, cardiac, urine output