Anti-anxiety Medications

Question 1

where do anti anxiety medications operate?

Answer 1

on GABA to produce a calming effect ranging form mild sedation to hypnosis to coma

Question 2

What medication is used short term to calm symptoms of anxiety fast?

Answer 2

benzodiazepines

Question 3

what are side effects of benzodiazepines?

Answer 3

drowsiness, poor balance or coordination, slurred speech, confusion
*caution with suicidal and drug addictive patients and benzodiazepines cause dependence

Question 4

describe the safety issues and nursing interventions for patients taking antianxiety agents.

Answer 4

1. abrupt withdrawal can be life threatening
   INTERVENTION: instruct medication adherence and never to abruptly stop taking medication; assess patient for tolerance
2. drowsiness, confusion and lethargy
   INTERVENTION: instruct patient not to drive
3. symptoms of depression may be aggravated
   INTERVENTIONS: assess patient mood and assess for suicidal risk
4. orthostatic hypotension
   INTERVENTIONS: instruct slow movements from lying to standing position
5. effects of other CNS depressants are increased
   INTERVENTION: instruct to not drink alcohol or take other CNS depressants
6. paradoxical excitement
   INTERVETNIONS: hold medications and notify provider
7. blood dyscrasias: assess for sore throat, fever, bruising, or unusual bleeding; hold med and report if present
8. congenital malformations: different treatment modality