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LORazepam

LORazepam
  • Restricted Medications Cardiac Monitor (IV)
Brand names: Ativan
Form Strength
SOLUTION, INJECTABLE 2 mg/mL
TABLET, ORAL 0.5 mg; 1 mg
Display Benzodiazepines Class: 282408
Medication comments:

LORazepam should generally not be interrupted during procedures unless there is a specific physician order.
Per policy, these medications require cardiac and/or special monitoring.
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
LORazepam (Ativan)
IV Push not for sedation 		Y Y Y Y Y Y Y Y
LORazepam (Ativan)
IV Push sedation / analgesia by non-anesthesia personnel Key: designated staff 		Y N N N N N N N
LORazepam (Ativan)
IV Infusion 		Y N N N N N N N
Iredell Memorial Hospital ICU Adult Infusion Guidelines  
The following orders are intended to provide a specific, safe, and effective means of initiating and titrating medications for critically ill patients. Physicians may modify doses and/or parameters as necessary pending patients' status.For all medications listed below, the responsible LIP is to be notified if unable to titrate or the maximum dose is reached and goals of therapy are not met.
Drug Name Onset Preparation Compatible fluids
LORazepam (Ativan) 1-3 min 20 mg/90ml fluid for total volume of 100ml.
Concentration = 0.2mg/ml		 NS or D5W
Starting Dose for ICU Sedation Titration Guidelines (for increasing and decreasing doses) with Maximum dose
For agitation: Begin infusion at 0.01 mg/kg/hr. titrate by 0.5 mg/hr every 15 min to -2 RASS sedation score.Max dose =5 mg/hr. If oversedated, hold infusion x 30 min and restart at 75% prior rate. If patient still exceeds RASS of -2, discontinue drip and notify physician.
Last updated: Sep. 22, 2019
  • Look-Alike/Sound-Alike LORazepam confused with ALPRAZolam, clonazePAM, Lovaza
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