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32 Cards in this Set
- Front
- Back
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what is the definition of level 1 mild anxiety
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normal level experienced by all
functions to motivate |
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what are the physical and psychological s+s of Level 1 mild anxiety
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vital signs normal
pupils constricted minimal increased muscle tone perceptual field broadened heightened awareness of enviornment |
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what is the definition of level 2 moderate anxiety
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normative level experienced by most in response to a significant stressor
Vital signs normal mild increased heart rate moderate increased muscle tone Subjective feeling of tension or worry, narrowed perceptions |
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what are the physical and psychological s+s of Level 2 moderate anxiety
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Vital signs normal
mild increased heart rate moderate increased muscle tone Subjective feeling of tension or worry, narrowed perceptions |
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what is the definition of level 3 severe anxiety
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pathological
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hat are the physical and psychological s+s of Level 3 severe anxiety
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autonomic nervous system triggered
flight or fight pupils dialated vital signs increased diaphoresis muscles rigid hearing decreased pain threshold increased urinary frequency diarrhea perceptual field narrowed difficulty in problem solving distorted perception of time selective inattention dissociative sensations autonomic behaviors |
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what is the definition of level 4 anxiety
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pathological
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hat are the physical and psychological s+s of Level 4 Panic
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severe symptoms marked by increased severity
pale and hypotensive poor eye-hand coordination muscle pains decreased hearing dizziness shortness of breath scattered perceptions unable to attend to environmental stimuli illogical thinking hallucinations or delusions |
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what is the psychodynamic theory of anxiety
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based on Sigmund Freud who beleived that anxiety occurs in response to the stimulation of birht and the need of the infant to adapt to changed environment
the process is unconcious repression of sexual drive conflict exists between need of the Id and superego (concious) conflict is unconscious but anxiety is not |
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when are defense mechanisms used
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to deal with the unconscious conflict
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the manifestations of anxiety are from
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pathological overuse of defense mechanisms
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what is interpersonal theory of anxiety
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based on the work of Harry Stack Sullivan who believed that humans are goal directed toward attainment of satisfaction and security needs which are met in interpersonal interactions
anxiety arises from interpersonal conflict sense of self becomes based on the perception of how others view him or her |
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what lab levels might you find
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compensated respiratory alkalosis
decreased carbon dioxide decreased bicarbonate normal pH |
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what benzo's have shorter half lives and require more frequent dosing
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ativan
xanax |
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what are the 4 non pharm. management tools for anxiety in BEHAVIORAL therapy
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systematic desensitization
exposure therapy relaxation therapy biofeedback CBT interpersonal therapy community self help groups Alternative therapies |
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what are 3 non-benzo anxiolytics for adults with anxiety
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Buspirone
Tiagabine (gabitril) Gabapentin |
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what is the diagnostic criteria of panic
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discrete episodes with 4 or more symptoms having a sudden onset and peaking in 10 minutes
paresthesias chills or hot flashes fear of losing control or going crazy fear of dying shortness of breath palpitations or pounding fast heart chest pain or tightness sweating shaking nausea or tummy upset 2/3 major depression occurs first 1/3 major depression preceded by panic |
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what is the pharmacological mmgt of panic disorder
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SSRIs
BNZ short term symptom control Buspar as an adjunct |
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what non pharmacological mmgt do you use in Panic
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CBT
individual group relaxation |
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what are the subtypes of phobia
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situational
natural environmental blood injection injury animal type |
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the manifestations of anxiety are from
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pathological overuse of defense mechanisms
|
|
|
what is interpersonal theory of anxiety
|
based on the work of Harry Stack Sullivan who believed that humans are goal directed toward attainment of satisfaction and security needs which are met in interpersonal interactions
anxiety arises from interpersonal conflict sense of self becomes based on the perception of how others view him or her |
|
|
what lab levels might you find
|
compensated respiratory alkalosis
decreased carbon dioxide decreased bicarbonate normal pH |
|
|
what benzo's have shorter half lives and require more frequent dosing
|
ativan
xanax |
|
|
what are the 4 non pharm. management tools for anxiety in BEHAVIORAL therapy
|
systematic desensitization
exposure therapy relaxation therapy biofeedback CBT interpersonal therapy community self help groups Alternative therapies |
|
|
what are 3 non-benzo anxiolytics for adults with anxiety
|
Buspirone
Tiagabine (gabitril) Gabapentin |
|
|
what is the diagnostic criteria of panic
|
discrete episodes with 4 or more symptoms having a sudden onset and peaking in 10 minutes
paresthesias chills or hot flashes fear of losing control or going crazy fear of dying shortness of breath palpitations or pounding fast heart chest pain or tightness sweating shaking nausea or tummy upset 2/3 major depression occurs first 1/3 major depression preceded by panic |
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what is the pharmacological mmgt of panic disorder
|
SSRIs
BNZ short term symptom control Buspar as an adjunct |
|
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what non pharmacological mmgt do you use in Panic
|
CBT
individual group relaxation |
|
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what are the subtypes of phobia
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situational
natural environmental blood injection injury animal type |
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what is the med management of social anxiety disorder
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SSRI
BNZ beta blockers (episodic relief) |
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what is the diagnostic criteria of OCD
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either obsessions OR compulsions
they know it is excessive or unreasonalbe marked distress, time consuming and interferes with ADL's DO NOT involve real world worries |
