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학습 자료 둘러보기 →The primary danger of chlordiazepoxide is CNS depression. A respiratory rate of 8 breaths/min signifies severe respiratory depression, a medical emergency requiring the nurse to hold the medication and notify the provider immediately.
Vital sign monitoring must be frequent. Assess respiratory rate, depth, and oxygen saturation before each dose and periodically after. Be aware that active metabolites have long half-lives, leading to potential drug accumulation and delayed sedation.
Do not confuse expected withdrawal symptoms with toxicity. Hypertension, tachycardia, tremors, and anxiety are indications for the drug, not contraindications. The critical adverse effect to watch for is over-sedation leading to a loss of airway protective reflexes.
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