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PHARM. - ANXIETY (16
| Question | Answer |
|---|---|
| Anxiety disorders | abnormal/ irrational rxn to stressful situations that impair normal ADL's |
| Generalized Anxiety | excessive worry about certain situations for 6+ months, leads to other disorders |
| Panic Disorder | is it's own class, an unprovoked anxiety attacks and involve intense fear |
| Phobia | irrational fears of a certain object/ activity/ or situation |
| Social Phobias | fears of situcations that often provide scrutiny from other ( public speaking) |
| Specific phobias | fears of certain object or situation (heights/ close spaces) |
| OCD | most disbabling, responseds to treatment |
| Obsessions | undesired thoughts that are both time consuming and irrational |
| Compulsions | repeated action/ behavior that is preformed to decrease the anxiety associated with the obsession |
| Major depressive disorders | occur commonly in the panic disorder victims |
| Phobias lead to what | exaggerated avoidance, and is a common treatment |
| treatment for OCD | Behavioral and psychotherapy Paxil Zoloft Prozac Luvox |
| Assessment (basline) | HX of behavior, mental status, mood/ affect, clarity of thought, psychomotor, obsessions/ complusions, sleep pattern, diet |
| Benzodiazephines Action | CNS depressant reduce axiety via GABA stimulation |
| Benzodiazephines Uses | treat anxiety associated with alchol withdraw and medical illness |
| Benzodiazephines Common | sleepy, slow, hangover, sedation |
| Benzodiazephines Serious | abuse, blood imbalance and hepatoxcity |
| Benzodiazephines Drug Notes | oxazepam & lorazepam are drugs of choice because they have no active metabolites. Not for pregancy use in at least the first trimester, may cause dependence (gradual withdrawal medicine when stopping |
| Azaspirones (buspirone) | Anitanxiety agent which is chemically unrelated to the anxiolytic agents. |
| Azaspirones (buspirone) Action | Unknown, is a partial serotonion and dopamine agonist, no affect on GABA |
| Azaspirones (buspirone)AKA | mid-brain modulator |
| Azaspirones (buspirone) notes | has lower sedative properties, don't alter psychomotor. Require 7 - 10 days before improvement shows & 3 - 4 wks for optimal effects |
| Azaspirones (buspirone) uses | short term relief of syptoms associated with anxiety, has no antipsychotice, minimal abuse level |
| Azaspirones (buspirone) Common | Sedation, lethatgy |
| Azaspirones (buspirone) Serious | Slurred speech, dizzy |
| SSRI's (selective serotonion reuptake inhibitors) (fluvoxamine). ACTION | inhibits the reuptake of serotonion at the nerve endings, thus prolonging the serotonion activity |
| SSRI's (selective serotonion reuptake inhibitors) (fluvoxamine). Uses | treatment of ODC |
| Anit-anxiety Miscellaneous (hydroxyzine) ACTION | antihistamine, some what multipurpose agent |
| Anit-anxiety Miscellaneous (hydroxyzine) USES | mild tranquiler for anxiety, tension agitation, sedation, relaxation pre-op, contol itching in allergy rxn, |
| Anit-anxiety Miscellaneous (hydroxyzine)Common | Blurred vision, constpation, dryness mucosa (throat, mouth and nose, sedation |
| Anit-anxiety Miscellaneous (hydroxyzine)Outcomes | decrease level of anxiety sedation, relaxation, reduce analegics before surgery absence of vomitting when used as antimetic control itch |
| Anit-anxiety Miscellaneous (hydroxyzine)Serious | Dizzy, Slurred Speech |
| Anit-anxiety Miscellaneous (meproamate)Action | act on many sites of the CNS, action unknown |
| Anit-anxiety Miscellaneous (meproamate)Uses | skeletal muscle relaxatantfor short term relief (-4 months), antianxiety |
| Anit-anxiety Miscellaneous (meproamate)Outcomes | decrease anxiety |
| Anit-anxiety Miscellaneous (meproamate)Common | Sedation |
| Anit-anxiety Miscellaneous (meproamate)Serious | Slurred speech, orthostatic hypotension, excessive abuse, paradoxical, pruritus, |