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sedatives&hypnotics

sedatives and hypnotics

QuestionAnswer
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
Created by: lyndsey_168
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