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12 Cards in this Set
- Front
- Back
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BZD - Benzos
Action / metabolism |
- CNS depressants: minor tranquilizer category
- Enhance GABA action - Highly protein bound, metabolized by liver - Lipid soluble: long half life. |
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BZD - Benzos
Indications |
Anxiety, Insomnia, Anticonvulsant, alcohol withdrawal, muscle relaxor
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Benzo sfx
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- Sedation
- Dizziness - Blurred vision - Leukopenia - lowers WBC |
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Benzos:
Interactions and sfx |
- Increased action with other CNS depressans: Alcohol, other benzos.
- Do not take with other CNS depressants, may lead to resp. dep. - Kava kava, valerian root: increase sedation effects - Sympathomimetics lower effects (caffeine, tobacco) - Possible teratogenic effects |
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BZDs dependence
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- Ideally for short term use only
- long term leads to tolerance buildup - Do not stop abruptly - W/D: agitation, insomnia, tremors, muscular cramps, sweating |
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BZD long term withdrawal s/s
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similar to alcohol
cant be life theatening Paranoia, delirium, HTN. Status Epilepticus, fever |
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BZDs include:
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Ativan, Valium, Versed
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BZDs overdose interventions
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Antidote: Flumazenil (Romazicon)
- If conscious: emetic + activated charcoal - If unconsious: airway maintenance - IV vasopressors for severe drop in BP |
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Buspar
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generalized anxiety, depression related anxiety
Interacts with Grapefruit |
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Benadryl
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Anxiety related insomnia
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Propranolol (Inderal)
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Beta blocker
Performance anxiety Reduces peripheral effects of anxiety |
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Anxiolitics teaching:
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Do not take with alcohol
Do not drive alternative relaxation methods |
