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10 Cards in this Set

  • Front
  • Back
Name Atypical Anxiolytic/Nonbarbiturate Anxiolytic.
Buspirone (buspar)
What are the therapeutic uses for Atypical Anxiolytic/Nonbarbiturate Anxiolytic?

Panic disorder


Social Anxiety disorder


obsessive-compulsive disorder


trauma and stressor related disorders (PTSD)



What are some Adverse effects of Atypical Anxiolytic/Nonbarbiturate Anxiolytic?

Dizziness


Headache


light headedness


Agitation

What are some precautions you should take into account when administering Atypical Anxiolytic/Nonbarbiturate Anxiolytic?
liver/renal dysfunction
What are medication and food interactions with Atypical Anxiolytic/Nonbarbiturate Anxiolytic?

antimicrobial agents (erythromycin, ketoconazole)


St. Johns wart


Grapefruit

Nursing considerations for Atypical Anxiolytic/Nonbarbiturate Anxiolytic?

-GI upset, take with food


-Effects of medication can take up to 3-6 weeks, and must be taken on a regular basis


-Tolerance, dependence, or withdrawal not a concern with this medication.

The nurse instructs the client that buspirone (BuSpar) has which common side effects?
1. Nausea and vomiting


2. Cognitive impairment


3. Decreased heart rate and blood pressure


4. Dizziness, headache, and drowsiness

4. Dizziness, headache, and drowsiness
Rationale 1: This medication causes dizziness, headache, and drowsiness.


Rationale 2: This medication causes dizziness, headache, and drowsiness.


Rationale 3: This medication causes dizziness, headache, and drowsiness.


Rationale 4: Dizziness, headache, and drowsiness all are common side effects of BuSpar.Global Rationale: Dizziness, headache, and drowsiness all are common side effects of BuSpar. Nausea, vomiting, cognitive impairment, decreased heart rate and decreased blood pressure are not common side effects of BuSpar.

Buspirone has been prescribed for the client. The nurse knows the optimum therapeutic response should be achieved in:


a. one to two days


b. two to four days.


c. one to two weeks
d. three to four weeks

d. three to four weeks


Feedback


A Incorrect: Little response will be noted.


B Incorrect: Some response might be noted.


C Incorrect: A clinical response should be noted, but not optimal response.


D Correct: This is the point of optimal response.

The nurse is developing a teaching plan for patients prescribed buspirone (BuSpar). Which information about this medication should be included?


a. There is minimal potential for abuse.


b. Signs of improvement can be seen within 3 days.


c. Sedation is increased compared with other antianxiety medications.


d. It stimulates the action of gamma-aminobutyric acid (GABA).

a. There is minimal potential for abuse


There is minimal potential for abuse with buspirone. It takes longer than 3 days to see signs of improvement. Buspirone has lower sedative properties and does not affect GABA receptors.

An older adult client is experiencing anxiety. Which anxiolytic drug would the nurse identify as being relatively safe to administer to this client at a normal dose? Select all that apply.


A) Buspirone


B) Lorazepam


C) Oxazepam


D) Alprazolam


E) Diazepam

A) Buspirone B) Lorazepam C) Oxazepam


Feedback:Lorazepam, oxazepam, and buspirone are relatively safer for older adult clients when given at normal doses.