Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
|
Sedative
|
• Overall calming of the person
|
|
|
Hypnotic
|
• To facilitate or cause sleep
|
|
|
Common concern in the elderly is for sedative and hypnotic drugs
|
• Difficulty getting to sleep
• Difficulty staying asleep • Awakening too early in the morning |
|
|
WHY sedative and hypnotic are Limit use in elders
|
• CNS depression common
• Falls risk • Confusion |
|
|
name four kind of drugs that are Sedative/Hypnotics
|
• Benzodiazepines
• Barbiturates • Insomnia Drugs • OTC and herbal based sedatives |
|
|
why people favor Benzodiazepines
|
• Lower fatality rates than barbiturates
• Lower potential for abuse • More favorable SE profile • Fewer drug-drug interactions but there are still Potential for abuse • Schedule II and III |
|
|
what three things that Benzodiazepines use for
|
Benzodiazepines
Widely prescribed for anxiety, insomnia and seizures |
|
|
Two benzodiazepine receptors
|
•BZ 1 located in the cerebellum
•Mediate anxiety •BZ 2 locatedin the basal ganglia and hippocampus •Muscle relaxation and cognitionBenzodiazepines |
|
|
cognitionBenzodiazepines: General Principles
|
•Control symptoms but not curative
•Increases of symptoms may be sign of developing tolerance •Withdrawal if stopped abruptly, need to taper off over 2 weeks •Orals have minimal CV SE; same drug given IV can have profound CV effects |
|
|
Benzodiazephines : general principles
|
Respiratory patients: can exacerbate apnea and airway obstruction issues.
•Typically minor respiratory depression Can produce amnesia of events while dose on board •Problems in judgment •Problems be accuracy of memory |
