NURS 1566 Clinical Form 3: Clinical Medications Worksheets
(You will need to make additional copies of these forms)
Generic Name  Trade Name          Classification      Dose            Route      Time/frequency
Temazepam    Restoril            Sedative/hypnotics 15 mg             PO         Q HS PRN
Peak            Onset                        Duration      Normal dosage range
2-3 hr          30 min                       6-8 hr        15-30 mg at bedtime initially if needed; some patients
                                                            may require only 7.5 mg
Why is your patient getting this medication                For IV meds, compatibility with IV drips and/or solutions
Sleep aid                                                  N/A
Mechanism of action and indications                        Nursing Implications (what to focus on)
(Why med ordered)                                          Contraindications/warnings/interactions
Acts at many levels in the CNS, producing generalized      Hypersensitivity, Pre-exisisting CNS depression.
depression. Effects may be mediated by GABA, and           Severe uncontrolled pain
inhibitory neurotransmitter                                Common side effects
                                                           Hangover, dizziness, drowsiness, lethargy, constipation,
                                                           diarrhea, nausea, vomiting, physical dependence
Interactions with other patient drugs, OTC or herbal       Lab value alterations caused by medicine
medicines (ask patient specifically)                       None listed
Increased CNS depression with opioid analgesics
                                                         Be sure to teach the patient the following about this
                                                         medication
                                                         Take as directed, may cause daytime drowsiness or
                                                         dizziness. Fall risk and prevention measures
Nursing Process- Assessment                     Assessment                              Evaluation
(Pre-administration assessment)                 Why would you hold or not give this      Check after giving
Assess sleep patterns befor therapy, Assess     med?                                     Improvement in sleep habits
CNS effects and risk of falls                   Hypersensitivity, Excessive CNS          which may not be noticeable
                                                depression                               until 3rd day of therapy.