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33 Cards in this Set
- Front
- Back
What is the first line treatment for anxiety disorders? |
SSRIs b/c they have less side effects and more rapid onset of actions |
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What med is reserved for treatment-resistant conditions due to risk of hypertensive crisis? |
Monoamine oxidase inhibitors (MAOIs) |
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What are the 3 main indications for benzodiazepines (BZs) an antiolytics and hypnotics? |
-Anxiety |
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What are the downsides of using BZs? |
- associated w/impaired psychomotor function, sedation, decreased cognitive function and ataxia. |
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When/how should BZs be used? |
- Short term bases to treat anxiety |
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Which meds are used to treat panic disorders? |
Xanex |
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Which meds are used to treat Acute mania? |
klonopin |
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Which meds are used for short-term hypnotic to induce sleep? |
Restoril |
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Which meds are used to treat muscle spasms? |
Valium |
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Which meds are used to treat seizure disorders? |
IV valium |
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Which meds are used to treat sedative withdrawl syndromw ? |
Valium |
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Which meds are used for preoperative anesthesia? |
Midazolam (versed) |
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When is klonopin used? |
Panic disorders |
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When is Ativan used? |
Panic disorders |
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When is valium used? |
Muscle spasms |
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What is the mechanism of action for BZs? |
Potentiates and intensify the action of GABA. GABA inhibits and/or reduces aggression, excitation and anxiety |
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Where are BZs metabolized? |
In the liver; will need periodic liver studies. |
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What are the long acting BZs, what is their half life and what is a nursing consideration pertaining to their metabolism? |
- Librium |
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What are the short acting BZs, what is their half life and what is nursing consideration pertaining to their metabolism? |
-Xanax |
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What are the side effects of BZs? |
2 most important |
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What should you teach a pt about BZs? |
-Do not increase dosage |
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What are some contraindications for BZs? |
-Driving, being around machinery |
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What is a non-BZ used to treat anxiety and the advantages and disadvantages? |
Buspirone (BuSpar) |
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What are indications for BuSpar? |
-Anxiety: general anxiety disorder (GAD) and/or anxiety accompanying depressive symptoms |
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What are the adverse affects of BuSpar? |
-dizziness, drowsiness, headache, excitability |
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What classification/drugs are used to treat ADHD? |
Stimulants such as Methylphenidate (Ritalin, Concerta, Metadate-ER, Adderall, Dexadrine) |
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What are the contraindications for stimulants? |
-glaucoma |
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What are side effects of methylphenidate? |
-nervousness |
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What are nursing considerations for pt on long-term methylphenidate? |
-long term problem is growth/weight suppression |
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What are the cholinesterase inhibitors and the mechanism of action? |
-Aricept |
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What phase of AZ will cholinesterase inhibitors work and for how long? |
Only works in the mild/moderate phase (except Namenda) and improvements peaks at 3 months will slow return to previous functioning in 9-12 months |
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Which drug demonstrated effectiveness in pt with moderate to severe AZ? |
Namenda |
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What are some side effects of Namenda? |
-hypertension |