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20 Cards in this Set
- Front
- Back
What are antianxiety agents used for?
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management of various forms of anxiety, including generalized anxiety disorder (GAD)
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Which antianxiety drugs are more suited for intermittent or short-term use?
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benzodiazepines
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Which antianxiety drugs are more suited for long-term use?
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buspirone
paroxetine venlafaxine |
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What do most antianxiety drugs cause?
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generalized CNS depression
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What negative effect may benzodiazepines have in the long term?
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tolerance and a potential for addiction
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Antianxiety drugs have NO _____ properties.
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analgesic
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When should antianxiety drugs not be used? (5)
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comatose patients
pre-existing CNS depression uncontrolled severe pain pregnancy lactation |
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When taking benzodiazepines, use cautiously in patients with? (5)
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hepatic dysfunction
severe renal impairment severe underlying pulmonary disease suicidal previous drug addictions |
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Additive CNS depressive effects with concurrent use of benzodiazepines may occur with use of? (5)
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alcohol
antihistamines] some anti-depressants opioid analgesics phenothiazines |
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Most antianxiety drugs should not be used with?
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MAO inhibitors
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What 3 cardiorespiratory functions should be assessed frequently while on IV administration?
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blood pressure
pulse respiratory status |
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Restrict the amount of drug available to patient, especially if patient is? (3)
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depressed
history of addiction suicidal |
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What two things should be assessed before and periodically throughout therapy?
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degree of anxiety
level of sedation ataxia dizziness slurred speech |
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Define ataxia?
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defective muscular
coordination, esp. that manifested when voluntary muscular movements are attempted (FYI: there are at least 13 different types of ataxia (Tabers) |
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Two potential nursing diagnoses?
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Injury, high risk for
Knowledge deficit related to medication regimen |
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Patients changing to _____ (antianxiety drug) from other antianxiety drugs should receive gradually decreasing doses?
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buspirone
(buspirone will not prevent withdrawal symptoms) |
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Patient/family teaching for antianxiety drugs?
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May cause daytime drowsiness.
Avoid driving until response to med determined Avoid alcohol and other CNS depressants Notify if pregnancy planned or suspected |
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Effectiveness of therapy can be demonstrated by?
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a decrease in anxiety level
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What are 6 benzodiazepines?
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alprazolam {Apo-Alpraz}, {Novo-Alprazol}, {Nu-Alpraz}, Xanax, Xanax XR
chlordiazepoxide {Apo-Chlordiazepoxide}, Libritabs, Librium, {Novopoxide} diazepam (Apo-Diazepam}, Diastat, {Diazemuls}, Dizac, D-Val, {Novodipam}, {PMS-Diazepam}, Valium, {Vivol} lorazepam {Apo-Lorazepam}, Ativan, {Novo-Lorazem}, {Nu-Loraz} midazolam Versed oxazepam {Apo-Oxazepam}, {Novoxapam}, Serax |
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What are 6 miscellaneous antianxiety drugs?
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buspirone BuSpar
doxepin Sinequan, {Triadapin}, Zonalon hydroxyzine {Apo-Hydroxyzine}, Atarax, Hyzine-50, {Multipax}, {Novohydroxyzin}, Vistaril paroxetine Paxil, Paxil CR prochlorperazine Compazine, {Stmetil}, Ultrazine venlafaxine Effexor, Effexor XR |