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20 Cards in this Set

  • Front
  • Back
larger doses of sedatives/hypnotics can cause ________
anesthesia
coma
death
define Hypnotic
drugs that suppress the CNS enough to cause sleep
define Sedative
smaller doese that cause drowsiness
list the types of sedative/hypnotics
barbituates
dalmane- flurazepam
halcion-triazolam
chloral hydrate
ambien
ethanol
which drugs are specific for sedation
dolmane- flurazepam ->reduce stage 4 sleep
halcion-triazolam -> amnesia

(end in ___am)
list barbituates from shortest to longest acting
Thiopental- ultra short- IV anesthetic
Secobarbital- short
Pentobarbital

Amobarbital- intermediate
Butobarbital

Phenobarbital- long, anticonvulsant therapy
Barbital
Sedative that acts as an anticonvulsant therapy esp in children

a) thiopental
b) halcion-triazolam
c) ambien
d) luminal-phenobarbital
luminal-phenobarbital
(long acting barbiturates)
which class of drugs inhibit the reticular activating system, and can initially inhibit REM sleep
barbiturates
may have a paradoxic affect on the elderly causing excitation
barbiturates
list the marked adverse affects of barbiturates
syncope, fainting
angioneurotic edema
depressed respiration
circulatory collapse
deadly w alcohol
benzodiazepine

a) dalmane-flurazepam
b) halcion- triazolam
c) ambien
d) preludin
dalmane-furazepam
halcion triazolam

inhibit GABA receptors
(end in ___am)
inhibit GABA receptors

a) All Benzodiazepines
b) halcion triazolam
c) ambien
d) dalmane-flurazepam
ALL
marked reduction of stage 4 sleep
flurazepam-dalmane
produces physiologic sleep with little effect on breathing or BP
Chloral Hydrate

can cause renal/lv damage or sudden death
list marked adverse affects of chloral hydrate
used for physiologic sleep for SHORT term use- can cause

LV/Renal damage
sudden death -secondary to cardiac arrhythmia
blocks GABA but is not a benzodiazepine
Ambien- hypnotic
compared to other sedative/hypnotics this drug has minimal effect on muscle relaxing/ anti-convulsing
ambien
may cause ab/muscle/joint pain and may cause sleepwalking activities
ambien
which of the following is a true statement about ethanol

a) inhibits excitatory centers in brain causing depression
b) inhibits secretion of gastric juices
c) depresses vasomotor centers in Medulla
d) inhibits ADH from Ant Pituitary
true = depress vasomotor center in medulla

inhibits inhibitory centers initially
promotes gastric secretion via gastrin/histamine
inhibits ADH from Post Pituatary
T/F

ethanol can cause hyperglycemia
F

hypoglycemia or hyperlipemia