anxiety & Trauma & stressor related disorder meds
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Benzodiazepines: diazepam, lorazepam, chlordiazepoxide, chlorazepate, oxazepam, clonazepam | TX: generalized anxiety disorder (GAD), PTSD, muscle spasm, insomnia, seizure disorders, alcohol withdrawal, induction of anesthesia
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| complications of Benzodiazepines: CNS depressant | sedation, light headedness, ataxia, decreased cognitive function.
Teach: report to HCP, avoid activities requiring alertness, avoid alcohol and other antianxiety meds can lead to respiratory depression.
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| complications of Benzodiazepines: Anterograde amnesia | difficulty recalling events that occur after dosing.
teach: report to HCP
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| complications of Benzodiazephines: toxicity | drowsiness, lethargy, confusion
IV toxicity: resp. depr, severe hypotsn, or cardiac/resp. arrest. RN considerations: for oral toxicity, use gastric lavage, followed by activated charcoal or saline cathartics. adm, flumazenil. Have resuscitatio
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| complications of benzodiazephines: paradoxical response | insomnia, excitation, euphoria, anxiety, rage.
notify HCP
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| complications of benzodiazephines: withdrawal effects | anxiety, insomnia, diaphoresis, tremors, lightheadedness, delirium, htn, muscle twitching, seizures
client edu: withdrawal effects are common w/short term use.
for client who use med long/term, taper over several weeks.
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| contraindications of benzodiazephines | preg cat. D - don't give to pregnant or lactating women
These meds are control substance. caution w/older adults, client w/liver disease or w/hx of mental illness or a substance use disorder. Med should be used short term d/t risk of dependency.
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| Interactions w/benzodiazephines | CNS depressant: avoid alcohol, barbiturates, opioids d/t resp. dep.
avoid anticonvulsants, antihistamines d/t increases CNS depression
grapefruit juice can reduce metabolism
high-fat meals can reduce absorption
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| RN administration for benzodiazephines | take med as prescribed, w/meals or snacks, at bedtime
taper dose over several weeks
notify HCP for withdrawal effects
keep med in a secure place d/t their potential for abuse
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