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sedatives&hypnotics
sedatives and hypnotics
| Question | Answer |
|---|---|
| Sedatives work by: | producing a diminished responsiveness to stimuli without producing sleep. |
| Hypnotics work by: | producing sleep. |
| 3 common adverse effects of sedatives and hypnotics: | excessive CNS depression, hypersensitivity reactions, excitement and a delirium. |
| Barbiturates may cause: | psychological and physical dependence. |
| Are barbiturates hypnotics or sedatives? | Both. |
| High doses of barbiturates may lead to what? | Respiratory depression. |
| Phenobarbital (Luminal) is a what? | Barbiturate. |
| What does Phenobarbital (Luminal) do? | Treats/prevents seizures. Often see children using this. |
| You must monitor serum levels. What is the therapeutic range? | 10-40 mcg/ml |
| What are signs and symptoms of phenobarbital (luminal) toxicity? | confusion, drowsiness, excitement, constricted pupils, cyanosis around lips, lowered blood pressure, clammy skin. |
| what is a big issue with barbiturates? | safety |
| Abrupt withdrawal of barbiturates can lead to? | severe convulsions and death |
| Ultra short-acting barbiturates (thiopental) is used primarily as: | IV anesthetics |
| Benzodiazepines are hypnotics or sedatives? | hypnotics. |
| Benzodiazepines primarily treat: | Anxiety |
| What category is lorazepam (ativan) in? | Benzodiazepines |
| What category is temazapam (restoril) in? | Benzodiazepines |
| what category is Phenobarbital in? | Barbiturates |
| what category is diazepam (valium) in? | Benzodiazepines |
| what category is midazolam (versed) in? | Benzodiazepines |
| diazepam (valium) is used IV in the ER to treat what? | joint dislocations |
| diazepam (valium) maybe used in ER to stop what? | seizures |
| what do you need to do with midazolam (versed)? | watch respiratory status and put on a monitor. |
| what is midazolam (versed) used for? | conscious sedation and also for induction anesthesia. |
| how much of a smaller dose of midazolam (versed) do you give elderly clients? | 25-30% |
| What must you avoid with barbiturates and benzodiazepines? | alcohol |
| What are trazodone (desyrel) and zolpidemtartrate (ambien) | Nonbarbitals |