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NURSING CARE PLAN Sleep

11/8/06 6:24 PM Page 1180. 1180 UNIT X / Promoting Physiologic Health ter administration, but may be less effective for the treatment of Client with the Sleep Disorder Care Plan Activity TABLE 45 1 Selected Sedative-Hypnotic Sleep maintenance insomnia. Medications Used for Insomnia MEDICATION HALF-LIFE Evaluating Chloral hydrate (Noctec) 7 10 hours Using data collected during care and the desired outcomes de- Eszopiclone (Lunesta) 6 hours veloped during the planning stage as a guide, the nurse judges Ethchlorvynol (Placidyl) 10 20 hours whether client goals and outcomes have been achieved. Data Flurazepam (Dalmane) 47 100 hours collection may include (a) observations of the duration of the Glutethimide (Doriden) 1 12 hours client's Sleep , (b) questions about how the client feels on awak- Lorazepam (Ativan) 10 20 hours ening, or (c) observations of the client's level of alertness dur- Melatonin 1 hour ing the da

1180 UNIT X / Promoting Physiologic Health sleep or nonrestorative sleep associated with menopausal symp-toms often benefit by the prescription of 10 mg of zolpidem, a low dose that was documented to be both safe and efficacious in this population. Hypnotics are not appropriate if clients have any

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