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Stack #73375

Chapter 28 Psychotherapeutics

QuestionAnswer
Psychotherapeutic drugs are used for treatment of emotional and mental disorders
Pshchotherapeutics are commonly prescribed when a persons: ability to cope with their environment is seriously impaired
Psychotherapeutic drug agents are used for the treatment of: anxiety, affective disorders, psychoses
Name four anxiolytic drugs Barbiturates; Carbamates; Antihistamines: Benzodiazepines
What is another word for anxiolytics? antianxiety
What are the two classes of agents used to treat affective disorders? antidepressant and antimanic agents
Antipsychotic agents are used to treat mood disorders such as schizophrenia, organic psychosis, manic phase of bipolar affective disorders
what is organic psychoses? natural psychoses/ not drug induced
What are the actions of barbiturates when used as an anxiolytic? depress CNS, suppress REM sleep; has little effect on anxiety
People suffering from panic attacks may receive Valium
Carbamates action Depresses CNS, similar to barbituates
Carbamates; watch for what in elderly severe hypotension
Common carbamate drug Meprobamate (Equnil, Miltown) also used as muscle relazer
Antihistamines used as anxiolytics cause mild sedation, reduce anxiety associated with pruritic dermatosis
Examples of antihistamines used as anxiolytics Vistaril, Atarax
Benefit of using Vistaril or Atarax no anticholinergic effects (dry mouth)
Benzodiazepines are: the first line of drugs used for anxiety disorders
Denzodiazepines produce what effect: sedation and muscle relaxation, sedative effect wears off, anxiolytic action continues
Drug-drug interactions when taking benzodiazepines Cimetidine (Tagamet), propranolol (Inderal); longer duration of benzodiazepines
Benzodiazepine - osazepam (Serax, Zapex) and lorazepam (Inderal) are beneficial to what group and why preferred to use with elderly or persons with renal disease; shorter half life; small amount needed;
Disadvantage of benzodiazepines other than Sarax and Atavan Long half life and tolerance
What happens with benzodiazepines long half life? potential accumulation in body; serious withdrawal symptoms
How long do withdrawal symptoms last when taking benzoidiazepines? up to one week after discontinued
What are side effects of withdrawal from benzodiazepines nervousness, severe anxiety, seizures
name antidote for benzodiazepines Flumazenil (Romazicon)
Name action of benzodiazepine antagonist reverses CNS depression, but over time some effects may recur
After use of benzodiazepines, what hazards should be included in client teaching? Avoid hazardous activities, alcohol, nonprescription drugs for 18-24 hours after any CNS depressant
Buspirone (BuSpar), a new_____ drug is chemically different Anxiolytic
What makes busiprone different than other anxioliytic? does not cause sedation or functional impaiment, low abuse potential
how long does buspirone require before clinical response occurs and before optimum results are seen? 1-2 weeks to produce a clinical response and 3-4 weeks therapy before optimum results are seen
When using barbiturates, what drugs may need to be given at a lower dose? anticoagulatns and phenytoin (anticonvulsant) may been to be adjusted
Elderly warning with butabarbital sodium Older persons may manifest confusion, excitement, or mental depression
Oral anxiolytic agent has another use antihistimines
hydroxyzine HCI, hydroxyzine, altrax, Vistaril, an antihistimine may be used preoperative and post-operative
Administration routes for hydroxyzine HCI oral and in acute cases, IM
Watc for depression, suicidal, or confused clients and in known drug abusers benzodiazepines
What drug is used for overdose of benzodiazepines? flumazenil given intravenously
This drug is used in treatment of acute anxiety or withdrawal of symptoms of acute alcoholism clordiazepoxide
Created by: Robi-d
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