Anxiety Flashcards

1
Q

Anxiety Symptoms: BESKIM

A
Blank mind, difficulty concentrating 
Easily fatigued 
Sleep disturbed 
Keyed up, on edge, restless
Irritability
Muscle Tension
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2
Q

What is the first line medication class for anxiety?

A

SSRI

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3
Q

What are the SSRIs?

A
Escitalopram 
Fluoxetine, fluvoxamine
Paroxetine
Citalopram
Setraline
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4
Q

SSRI Side Effects (4)

A

Suicidal thoughts
Stomach upset (N/V)
Sexual Dysfunction (priapism, inability to achieve orgasm, decreased libido)
Serotonin syndrome

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5
Q

Serotonin syndrome s/s (SHIVERS)

A
Shivers
Hyperreflexia, myoclonus
Increased temp
VS increased (Increased RR, HR, Decreased BP)
Encephalopathy 
Restlessness
Sweating
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6
Q

examples of SNRI (3)

A

Effexor, Pristiq, Cymbalta

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7
Q

Anxiolytic that is taken while waiting for SSRI to work

A

buspirone

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8
Q

How long does it take for SSRI to work?

A

4-6 weeks

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9
Q

Anxiety symptom relief meds (2)

A
  • diphenhydramine

- hydroxyzine

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10
Q

side effects of symptom relief meds (9)

A
  • dry mouth
  • drowsiness
  • dizziness
  • N/V
  • restlessness
  • moodiness
  • trouble urinating or not being able to urinate
  • blurred vision
  • confusion
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11
Q

Anticonvulsant given for anxiety

A

Gabapentin

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12
Q

How do Benzo’s work?

A

enhance the effects of GABA

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13
Q

Complications of Benzos (4)

A
  • CNS depression
  • anterograde amnesia
  • paradoxical response
  • withdrawal effects
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14
Q

How long are benzos taken for?

A

4-6 weeks max

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15
Q

examples of benzos (5)

A
  • diazepam
  • alprazolam
  • chlordiazepoxide
  • lorazepam
  • clonazepam
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16
Q

Medication taken 20-30 min before a stressful event

A

propanolol

17
Q

medication for people who cannot tolerate SSRI, SNRI

A

Clonidine

18
Q

Clonidine side effects

A

dizziness, dry mouth, hypotension