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514 Comp Exam 2

Everything in Red

QuestionAnswer
4 Disease-Causes of Insomnia? Pain, Frequent urination, heartburn, difficulty breathing
6 Medication-causes of INDUCED insomnia? Alcohol, Amphetamine, ADs, Caffeine, Corticosteroids, Nicotine
5 Medication-causes of insomnia WITHDRAWAL? Alcohol, Antihistamines, benzos, opiates, valerian
2 other causes of insomnia? Stimulants and sedatives when abruptly DC
Dose of Diphenhydramine HCl? 25-30mg 30min before HS
5 Counselling Points of Diphenhydramine HCl? Take for 2-3 nights, skip a night and re-evaluate sleep quality (NTE 10 nights), Avoid tasks requiring full attention, Avoid -OH, Paradoxical education may occur in children, 4 Contraindications
4 Contraindications of Diphenhydramine HCL? Chronic respiratory disorders, hyperthyroidism, glaucoma, BPH
Onset of Diphenhydramine HCl? 3-6h w/ 50mg dose
S/E of Diphenhydramine HCl? daytime sedation, anticholinergic toxicity
Dose of melatonin? 2-5mg 2-3h before HS x 8wks
3 Counselling points of Melatonin? Take drug at the same time each night, Use IR dosage form for difficulty FALLING asleep, Use ER dosage form for difficulty STAYING asleep
Onset of Melatonin? Peaks at 20 minutes
3 CI’s of melatonin? Pregnancy, breastfeeding, attempting to get pregnant
4 S/E of Melatonin? Dizz, drows, nausea, headache
Dose of Valerian? Not recommended due to lack of efficacy
2 Counseling points of Valerian? Do not stop suddenly if used chronically, slowly taper to avoid withdrawal syndrome
2 CI’s of valerian? Pregnancy and lactation
2 S/E of Valerian? diarrhea, WD effect if abruptly stopped
Dose of caffeine? 100mg-200mg q 3-4h PRN
Counselling points of caffeine? Avoid use before sleep, Avoid taking with weight loss supplements or energy drinks (too much caff.), Avoid if history of anxiety, agitation or tremor, Use w/ caution if history of PUD &/or GERD
Onset of Caffeine? 30-75 min
4 CI’s of caffeine? MOAI’s, CAD, uncontrolled HT, preexisting arrhythmias
3 S/E of caffeine? sleep interference, agitation in high doses, transient increase in HR & BP
Created by: Oosagie77
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