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67 Cards in this Set
- Front
- Back
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Feelings of apprehension, worry, or uneasiness |
Anxiety |
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unsteady gait; muscular incoordination |
Ataxia |
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Neurotransmitter inhibitor that regulates sleep and anxiety |
GABA Gamma aminobutyric acid |
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Chronic anxiety, exaggerated worry, and tension |
GAD Generalized anxiety disorder |
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habitual use of a drug, abrupt withdraw results in physical symptoms |
Physical dependence |
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mental health condition triggered by a traumatic event. |
PTSD Post traumatic stress disorder |
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compulsion or craving to use a substance to feel pleasure |
Psychological dependence |
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increasingly larger doses are required to obtain the desired effect |
Tolerance |
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Another name for anti-anxiety medications |
Anxiolytics |
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Two classes of anti-anxiety meds |
Benzodiazepines Non-Benzodiazepines |
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Five examples of Benzodiarepines * A - DOUBLE C - D - L* |
Alprazolam (xanax) Chlordiazepoxide (Librium) Clonazepam(Klonopin) Diazepam (Valium) Lorazepam (ativan) |
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what is the brand name for the anti-anxiety med, Alprazolam, that belongs to the benzodiazepine group |
Xanax |
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Xanax is the brand name for what anti-anxiety med? |
Alpazolam |
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What is the brand name for the anti-anxiety med, chlordiazepoxide, that belongs to the benzodiazepines group |
Librium |
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what is the brand name for the anti- anxiety med, clonazepam, that belongs to the benzodiazepines group |
Klin Olin |
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what is the brand name for the anti-anxiety med, diazepam, that belongs to the benzodiazepines group? |
Valium |
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What is the brand name for the anti-anxiety med, lorazepam, that belongs to the benzodiazepines group? |
Ativan |
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Short term use of anti -anxiety meds, bentos and non-benzos, can cause what? |
Dependency |
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3 examples of Nonbenzodiazepines B-D-H |
Buspirone Doxepin (Silenor) Hydroxyzine (Vistaril) |
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What is the brand name for the anti-anxiety med, Doxepin, that belongs to the nonbenzodiazepines group |
Silence |
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what is the brand name for the anti-anxiety med, hydroxyzine, that belongs to the nonbenzodiazepines group |
Vistaril |
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What are the actions of anti-anviety meds? |
block neurotransmitter receptor sites |
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The group of anti-anxiety meds that potentiate the etfects of gamma aminobutyric acid (GABA) |
Benzodiazepines |
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The non-benzodiazepine, anti-anxiety med, that acts on serotonin receptors. |
Buspirone |
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The non-benzodiazepine, anti-anxiety med, that acts on the hypothalamus and brainstem reticular formation |
Hydroxyzine |
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Anti-anxiety drugs are used to treat what five things? |
1- isolated episodes of intense anxiety 2- temporary use with severe functional impairment 3- pre-anesthetic sedation and muscle relaxation 4- Convulsions or seizures 5- Alcohol Withdrawal |
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six adverse reactions to anti-anxiety medication, other than mild drowsiness and sedation, lightheadedness or dizziness, and headaches |
- lethargy, apathy, and fatigue - disorientation - anger - restlessness - nausea, constipation, dry mouth - Visual disturbances |
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Anti-Anxiety Med Dependence long term use = _____ dependence and _____. Never discontinue abruptly - _____. Withdrawal symptoms can _____. May _____ increased _____ when stopped. |
physical - tolerance taper occur induce -anxiety |
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anti-anxiety meds contraindications - 8 |
-allergy to drug - psychoses - acute narrow-angle glaucoma - pregnancy and labor - lactation - Coma or shock - acute alcoholic intoxication with abnormally low vital signs - grapefruit or its juice |
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Anti-anxiety meds should be used cautiously in - - - |
- elderly clients - clients with impaired liver or Kidney function - Clients with debilitation |
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What effect of interaction does anti-anxiety meds have with alcohol? |
Increased risk for CNS depression or convulsions |
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What effect of interaction does anti-anxiety meds have with analgesics? |
Increased risk for CNS depression |
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what effect of interaction does anti-anxiety meds have with tricyclic antidepressants? |
Increased risk for sedation and respiratory depression. |
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what effect of interaction does anti-andiety meds have with antipsychotics? |
Increased risk for sedation & respiratory depression. |
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What affect of interaction does anti-anxiety meds have with digoxin? |
Icreased risk of digitalis toxicity |
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An increased risk for CNS depression or convulsions can occur when anti-anxiety meds are mixed with |
Alcohol |
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An increased risk for CNS depression can occur when anti-anxiety meds are mixed with _____ and _____. |
Alcohol Analgesics |
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Am increased risk for sedation and respiratory depression can occur when anti-anxiety meds are mixed with _____ _____ and _____. |
Trycyclic anti-depressants Antipsychotics |
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An herbal remedy used to relieve stress, anxiety, and tension. |
Kava |
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Kava, an herbal remedy used to relieve stress, anxiety, and tension - may cause damage to what organ? |
Liver |
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How should Kava be taken? |
occasionally, NOT daily |
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Before starting any herbal medications, what should you do? |
Contact your doctor |
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NURSING PROCESS - PRE-ADMIN - Anti -Anxiety Meds What objective date should you look for in this step of the nursing process? |
- Description of general apperance, watch for cool or pale skin - vital signs & weight - Observation of behavior during the interview |
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NURSING PROCESS - PRE-ADMIN - Anti- Anxiety Meds What subjective data should be collected in this step of the nursing process? |
- anxiety level rating - current history of symptoms, how reacts to stress - self report compared to family members - coping mechanisms used - medical, social, and health history - review home medications that may cause changes in mental health - ask client about drug/alcohol use |
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NURSING PROCESS - ONGOING ASSESS - Anti -Anxiety Meds - What should be checked prior to drug administration? - Wha shouid the client or family be asked? - What should be assessed and documented? - What should the nurse monitor for after drug administration? - What should be periodically monitored and compared to the baseline? |
- Blood pressure - about adverse effects of drug - improvement or decline of client’s outward behavior, complaints, or problems - Adverse reactions - mental status and anxiety level compared to baseline |
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NURSING PROCESS - NURSING DIAGNOSES - Anti -Anxiety Meds Three nursing diagnoses related to anti-anxilty meds. |
- Injury Risk - Impaired Comfort - Coping Impairment |
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NURSING PROCESS - PLANNING Anti-Anxiety Meds Expected client autcomes may include: • • • |
- optimal response to therapy - management of adverse drug reactions - confidence in an understanding of the prescribed medication |
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NURSING PROCESS - IMPLEMENTATION - Promoting optimal Response to Therapy - Observe for __________ - Not recommended for ________ - If used for short periods (1-2 wks), these do not develop - Report this to the primary neath care provider |
- adverse drug reactions - long term use - tolerance, withdrawal, + dependence - need for larger doses or complaints or agitation |
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Signs of Benzodiazepine Toxicity |
Sedation Respiratory Depression Coma |
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what is the antidote for benzodiazepine toxicity? |
flumazenil |
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How quickly does flumazenil reverse the effects of benzodiazepine toxicity when given by IV? |
6-10 minutes |
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Adverse effects of benzodiazepine toxicity? |
- agitation - Confusion - Seizures - Symptoms of benzo withdrawal |
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To decrease dry mouth, when taking anti-anxiety meds, the nurse should offer the client what? |
sugarless gum or hard candy |
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When taking anti-anxiety meds, you should assess _____ and encourage _____. |
Swallowing fluids |
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should anti-anxiety meds be taken with or without food? why? |
With food to decrease GI upset |
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When providing meals to a client who is taking anti-anxiety meds, the meal should consist of what to prevent constipation? |
fiber fruits vegetables |
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How often should the client be observed for response to therapy? |
At each visit. |
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what type of questions should be used when questioning a client about response to therapy? |
open ended questions |
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When teaching a client to cope with anxiety, the client should be taught to identify what? |
precipitation of panic / cause of anxiety |
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Client Education - Ant-Anxiety Meds - When taking meds at home-how should client take? - type of effects client stould understand? - When should the phcp be contacted? - you should avoid this? - drugs should not be discontinued in this manner. - these should not be taken in addition w/out consulting your provider? - when rising, what should you do if dizziness occurs? - dry mouth? Preventing constipation? - Keep these with provider & report what? |
* take as directed * adverse * if there are serious adverse eftects or anxiety persists * hazardous tasks and drinking alcohol *abruptly persists. - non-prescription drugs or supplements - rise slowly * Sip on water, suck on hard candy, chew sugarless gum * appointments - adverse effects/unusual changes |
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A feeling of apprehension, worry or uneasiness |
Anxiety |
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What scale should a client rate their anxiety on? |
0-10 |
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What meds are used to treat anxiety? |
benzodiazepines and nonbenzodiazepines |
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How do antianxiely meds work? |
By blocking neurotransmitters |
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How should benzodiazepines be stopped? |
tapered, never stopped abruptly |
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Adverse effects of anti-anxiety meds - *4* |
Dry mouth, hypotension, dizziness, and drowsiness |
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What group of plopte ave affected more rapidly by the adverse effecis of antrankiety meds? |
Elderly |
