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Meds for Anxiety
Nursing Medications for Anxiety Disorders
| Question | Answer |
|---|---|
| MAJOR MEDICATIONS USED TO TREAT ANXIETY DISORDERS INCLUDE THESE CLASSES? | BENZODIAZEPINES (SEDATIVE HYPNOTIC ANXIOLYTICS) ATYPICAL ANXIOLYTIC NONBARBITURATE ANXIOLYTICS SELECTIVE SERETONIN REUPTAKE INHIBITORS (SSRI'S ANTIDEPRESSANTS) |
| OTHER MEDICATIONS USED TO TREAT ANXIETY DISORDERS INCLUDE THESE CLASSES? | TRICYCLICS MAOI'S SNRI'S SSRI'S CNS STIMULANTS ANTIHISTAMINES BETA-ADRENERGIC BLOCKERS ANTICONVULSANTS |
| DIAZEPAM IS CLASSIFIED AS A? | BENZODIAZEPINE SEDATIVE HYPNOTIC ANXIOLYTIC |
| ALPRAZOLAM/XANAX IS CLASSIFIED AS A? | BENZODIAZEPINE SEDATIVE HYPNOTIC ANXIOLYTIC |
| LORAZEPAM/ATIVAN IS CLASSIFIED AS A? | BENZODIAZEPINE SEDATIVE HYPNOTIC ANXIOLYTIC |
| CHLORDIAZEPOXIDE/LIBRIUM IS CLASSIFIED AS A? | BENZODIAZEPINE SEDATIVE HYPNOTIC ANXIOLYTIC |
| CLORAZEPATE/TRANXENE | BENZODIAZEPINE SEDATIVE HYPNOTIC ANXIOLYTIC |
| OXAZEPAM/SERAX | BENZODIAZEPINE SEDATIVE HYPNOTIC ANXIOLYTIC |
| CLONAZEPAM/KLONOPIN | BENZODIAZEPINE SEDATIVE HYPNOTIC ANXIOLYTIC |
| THERAPEUTIC USES OF BENZODIAZEPINES ARE? | GAD (GENERALIZED ANXIETY DISORDER) PANIC DISORDER |
| OTHER USES FOR BENZODIAZEPINES INCLUDE? | SEIZURE DISORDERS INSOMNIA MUSCLE SPASMS ALCOHOL WITHDRAWAL (PREVENTION AND TREATMENT OF ACUTE SYMPTOMS) INDUCTION OF ANESTHESIA |
| COMPLICATIONS OF BENZODIAZEPINES ARE? | CNS DEPRESSION SEDATION, LIGHT HEADEDNESS,ATAXIA, DECREASED COGNITIVE FUNCTION) |
| COMPLICATIONS OF BENZODIAZEPINES ARE? | ANTEROGRADE AMNESIA DIFFICULTY RECALLING EVENTS THAT OCCUR AFTER DOSING) |
| COMPLICATIONS OF BENZODIAZEPINES ARE? | ACUTE ORAL TOXICITY DROWSINESS, LETHARGY, CONFUSION |
| COMPLICATIONS OF BENZODIAZEPINES ARE? | PARADOXICAL RESPONSE INSOMNIA, EXCITATION, EUPHORIA, ANXIETY, RAGE |
| COMPLICATIONS OF BENZODIAZEPINES ARE? | WITHDRAWAL SYMPTOMS WHICH OCCUR INFREQUENTLY WITH SHORT TERM USE ANXIETY, INSOMNIA, DIAPHORESIS, TREMORS, LIGHT HEADEDNESS |
| DIAZEPAM IS CONTRAINDICATED IN PATIENTS WITH? | SLEEP APNEA RESPIRATORY DEPRESSION |
| USE DIAZEPAM CAUTIOUSLY IN PATIENTS WITH? | SUBSTANCE ABUSE LIVER DISEASE |
| BENZODIAZEPINES ARE CLASSIFIED UNDER WHAT SCHEDULE OF DRUGS | SCHEDULE IV |
| WHAT IS THE PREGNANCY RISK CATEGORY OF DIAZEPAM? | PREGNANCY RISK D |
| INTERACTIONS OF BENZODIAZEPINES INCLUDE WHAT? | CNS DEPRESSANTS SUCH AS (ALCOHOL, BARBITURATES, OPIOIDS) MAY RESULT IN RESPIRATORY DEPRESSION |
| WHAT CLASS OF MEDICATIONS IS BUSPIRONE? | ATYPICAL ANXIOLYTIC/NON-BARBITURATE ANXIOLYTIC |
| WHAT IS THE EXPECTED ACTION OF BUSPIRONE? | BINDS TO SEROTONIN AND DOPAMINE RECEPTORS ABUSE IS MUCH LESS LIKELY THAN WITH OTHER ANXIOLYTICS, USE DOES N OT RESULT IN SEDATION OR POTENTIATE THE EFFECTS OF OTHER CNS DEPRESSANTS |
| WHAT ARE THE THERAPEUTIC USES OF BUSPIRONE? | PANIC DISORDER OCD SOCIAL ANXIETY DISORDER PTSD |
| ADVERSE REACTIONS OF BUSPIRONE INCLUDE WHAT? | DIZZINESS, NAUSEA, LIGHT-HEADEDNESS, AGITATION |
| BUSPIRONE IS CONTRAINDICATED WITH WHAT OTHER MEDICATIONS? | CONCURRENT USE WITH MAOI ANTI-DEPRESSANTS OR FOR 14 DAYS AFTER MAOI'S ARE DISCONTINUED |
| USE BUSPIRONE CAUTIOUSLY IN PATIENTS OF WHAT TYPE? | OLDER CLIENTS CLIENTS WITH LIVER DYSFUNCTION CLIENTS WITH RENAL DYSFUNCTION |
| MEDICATIONS AND FOOD INTERACTIONS WITH BUSPIRONE THAT MAY INCREASE THE EFFECTS OF BUSPIRONE INCLUDE WHAT? | ERYTHROMYCIN KETOCONAZOLE GRAPEFRUIT JUICE |
| SSRI'S INCLUDE THESE MEDICATIONS | PAROXETINE SERTRALINE/ZOLOFT ESCITALOPRAM/LEXAPRO FLUOXETINE/PROZAC FLUVOXAMINE/LUVOX |
| THE EXPECTED PHARMACOLOGICAL ACTION OF PAROXETINE IS? | SELECTIVELY INHIBITS SEROTONIN REUPTAKE, ALLOWING MORE SEROTONIN TO STAY AT THE JUNCTION OF THE NEURONS IT DOES NOT BLOCK DOPAMINE OR NOREPINEPHRINE |
| PAROXETINE CAUSES WHAT KIND OF STIMULATION | CNS STIMULATION WHICH CAUSES INSOMNIA |
| WHAT IS THE HALF LIFE OF PAROXETINE | LONG EFFECTIVE HALF LIFE THE TIME FRAME OF ABOUT 4 WEEKS IS NEEDED TO PRODUCE THERAPEUTIC MEDICATION LEVELS |
| WHAT ARE THE THERAPEUTIC USES OF PAROXETINE | GAD PANIC DISORDER TREATS BOTH FREQUENCY AND INTENSITY OF ATTACKS AND PREVENTS ANTICIPATORY ANXIETY ABOUT ATTACKS OCD REDUCES SYMPTOMS BY INCREASING SEROTONIN SOCIAL ANXIETY DISORDER PTSD DEPRESSIVE DISORDERS |
| SERTRALINE/ZOLOFT IS USED TO TREAT WHAT CONDITIONS | PANIC DISORDER OCD SOCIAL ANXIETY DISORDER PTSD |
| ESCITALOPRAM IS USED TO TREAT WHAT CONDITIONS | GAD OCD |
| FLUOXETINE/PROZAC IS USED TO TREAT WHAT CONDITIONS | PANIC DISORDER OCD |
| FLUVOXAMINE/LUVOX IS USED TO TREAT WHAT CONDITIONS | OCD SOCIAL ANXIETY DISORDER |
| WHAT ARE EARLY SIDE EFFECTS ASSOCIATED WITH SSRI'S | NAUSEA DROWSINESS DIAPHORESIS TREMOR FATIGUE |
| WHAT ARE LATER SIDE EFFECTS ASSOCIATED WITH SSRI'S | SEXUAL DYSFUNCTION WEIGHT GAIN GI BLEEDING HYPONATREMIA (LIKELY IN OLDER ADULT CLIENTS) SEROTONIN SYNDROME BRUXISM WITHDRAWAL SYMPTOMS |
| WHAT ARE SYMPTOMS OF SEROTONIN SYNDROME | AGITATION CONFUSION DISORIENTATION DIFFICULTY CONCENTRATING ANXIETY HALLUCINATIONS HYPERREFLEXIA INCOORDINATION TREMORS FEVER DIAPHORESIS |
| WHEN DOES SEROTONIN SYNDROME USUALLY OCCUR | 3-72 HOURS AFTER INITIATION OF TREATMENT |
| WHEN IS SEROTONIN SYNDROME USUALLY RESOLVED | WHEN THE MEDICATION IS DISCONTINUED |
| WHAT IS BRUXISM | GRINDING AND CLENCHING THE TEETH USUALLY DURING SLEEP |
| WHAT ARE SOME SYMPTOMS OF WITHDRAWAL ASSOCIATED WITH THE USE OF SSRI'S | NAUSEA SENSORY DISTURBANCES ANXIETY TREMOR MALAISE UNEASE |
| SSRI'S ARE CONTRAINDICATED IN WHAT TYPE OF PATIENTS | CLIENTS TAKING MAOI'S OR TCA'S |
| CLIENTS TAKING PAROXETINE SHOULD AVOID WHAT SUBSTANCE | ALCOHOL |
| PAROXETINE SHOULD BE USED CAUTIOUSLY WITH WHAT TYPES OF CLIENTS | CLIENTS WITH LIVER OR RENAL DYSFUNCTION SEIZURE DISORDERS HISTORY OF GI BLEEDING TAKING NSAID'S TAKING ANTI-COAGULANTS |
| PAROXETINE IS IN WHAT PREGNANCY RISK CATEGORY | D |
| INTERACTIONS ASSOCIATED WITH SSRI'S ARE | MAOI'S AND TCA'S CAN CAUSE SEROTONIN SYNDROME |
| SSRI'S MAY BE TAKEN WITH OR WITHOUT FOOD? | WITH |
| SLEEP DISTURBANCES ASSOCIATED WITH THE USE OF SSRI'S MAY BE MINIMIZED WHEN TAKING THIS MEDICATION WHEN? | IN THE MORNING |
| THERAPEUTIC EFFECTS OF SSRI'S MAY NOT BE ACHIEVED UNTIL HOW MANY WEEKS | 1-3 |
Created by:
nursebtanner
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