Diseases & Conditions >
This topic is from Rosen and Barkin's 5-Minute Emergency Medicine Consult About our sources

Benzodiazepine Poisoning Updated 12/2010

Email       Print Section  |  Print Topic       Add to My Favorites

BASICS

  • Description

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • Pre-hospital
  • Initial Stabilization
  • ED Treatment
  • Medication (Drugs)
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description
  • Acts to potentiate activity of γ-aminobutyric acid (GABA; major inhibitory neurotransmitter) by binding to its own specific site
  • Facilitates GABA binding to its site
  • Results in chloride influx, membrane hyperpolarization, and inhibition of cellular excitation:
    • Benzodiazepines (BZs) increase frequency of chloride channel opening.
    • Depression of spinal reflexes and reticular activating system
  • Rapidly absorbed from GI tract:
    • Highly protein bound
    • Large Vd
    • Hepatic metabolism
    • Duration of action is inversely proportional to lipophilicity.
    • Duration of lorazepam > diazepam > midazolam.
    • Synergistic with other sedative-hypnotic medications (eg, ethanol, barbiturates, propofol)

You must be logged in to fully access this content.

Sign In
Sign up for a 30-Day Free Trial

Sign up for a 30-Day FREE Trial now and receive access to all content.

Start free trial!

Have a book code?

Submit your book code to create your FREE standard account.
See Also
Lab Tests >
Patient Handouts >