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25/11/2010<br />

Benzodiazepines / Pharmacodynamics (2)<br />

b. Cardiovascular system<br />

1. Produce a mild systemic vasodilation and<br />

reduction in cardiac output. Heart rate is<br />

usually unchanged.<br />

2. Hemodynamic changes may be pronounced<br />

in hypovolemic patients or in those with<br />

little cardiovascular reserve, if rapidly<br />

administered in a large dose, or if<br />

administered with an opioid.<br />

Benzodiazepines / Pharmacodynamics (3)<br />

c. Respiratory system<br />

1. Produce a mild dose-dependent decrease<br />

in respiratory rate and tidal volume.<br />

2. Respiratory depression may be<br />

pronounced if administered with an<br />

opioid, in patients with pulmonary disease,<br />

or in debilitated patients.<br />

11

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