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Stack #73375
Chapter 28 Psychotherapeutics
| Question | Answer |
|---|---|
| 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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