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Pharmacology 120 NUR120 > Anxiety > Flashcards

Anxiety Flashcards

1
Q

Anxiety has four levels

A

Mild , moderate , severe, and panic

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2
Q

Mild anxiety

A

Lowest level of anxiety
Part of everyday life - can motivate a person

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3
Q

Symptoms of mild anxiety

A

*restlessnes
*mild tension
*irritable
*himpatient
* foot / finger tapping
* butterfly feeling
* difficulty sleeping

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4
Q

Moderate anxiety

A
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5
Q

Moderate anxiety

A

Thinking clearly can be imparied

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6
Q

Symptoms for moderate anxiety

A

‘increased heart rate,sweating , headache, frequent uriniation, GI upset, muscle tension , easily irritable / distracted, difficulty concentrating

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7
Q

Severe anxiety

A

Impaired ability to function
Doesn’t pay attention, doesn’t respond to redirections

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8
Q

Symptoms of sever anxiety

A

Panic attack, hyperventilating, chest pain, rapid speech, disconnected from reality, diaphoresis” sweating “

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9
Q

Panic anxiety

A

Highest level
Overwhelming feeling of terror / helplessness
Panic attacks happen sudden and unexpected

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10
Q

Panic anxiety symptoms

A

Chest pain
Dizziness
Difficulty breathing
Feel like they are dying , going crazy
Distorted perception
Loss rational thought

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11
Q

BENZODIAZEPINES

A

They work quick - for ACUTE symptoms
Used for short term
It is not giving to elder P.T

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12
Q

BENZODIAZEPINES
THERAPEUTIC CLASS

A

Sedative hypotonic anxiolytics
Example;
AlprazolAM(xanax), diazepAM(Valium), lorazepAM(Ativan), clonazepAM(Klonopin)

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13
Q

BENZODIAZEPINES INDICATIONS

A
  1. Treats anxiety
  2. Insomnia
  3. Seizures
  4. Muscle spasms
    Acute anxiety symptoms!!
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14
Q

Benzodiazepines side effects

A
  1. CNS depressant
  2. Drowsiness
  3. Dizziness
  4. Impaired coordination
    5.memory problems
    Can worsen the anxiety *
    Can lead to insomnia *
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15
Q

Withdraw effects from benzodiazepines

A

Anxiety
Insomnia
Diaphoresis (excessive sweating)
Hypertension
Lightheaded

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16
Q

Nursing considerations for BENZODIAZEPINES

A

Take nap after taking med
Avoid activities that require alertness
Avoid alcohol / other depressants
Fall precaution
Rick for dependency

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17
Q

Reverse adverse effect for BENZODIAZEPINES

A

Flumazenil

18
Q

If P.T has glaucoma , can they take benzodiazepines

A

NO.
CAN LEAD TO PERMANENT VISION LOST!

19
Q

BUSPIRONE

A

To treat anxiety disorders
It binds serotonin and dopamine receptors in the brain
Can be used long term (safer )
Takes 2-4 weeks for full effect
(P.T should be educated that it develops slowly)
Low potential fro abuse / dependence

20
Q

BUSPIRONE side effects

A

Headache
Dizziness
Drowsiness]nause
Nervousness
Restlessness
Lightheadedness

21
Q

Nursing considerations for BUSPIRONE

A

Monitor for depression / suicidal thoughts
It’s metabolized by the LIVER
ST John’s wort med and grapefruit can lead to toxicity / bad effects

22
Q

SSRI Antidepressant

A

Serotonin reuptake inhibitors
Increases level of serotonin in the brain -> increased serotonin gives elevated mood and less depression
Takes 4 weeks for therapeutic effect
Take same time everyday
But too much serotonin can lead to serotonin syndrome

23
Q

Serotonin syndrome

A

Hyperthermia (Makes you hot ), agitation, confusion, rapid H.R, high BP, sweating , loss coordination, diarrhea, seizures.
It’s a result of excessive serotonin in the body
Symptoms occurs within several hours
Resolved when med is discontinued
Symptoms are

24
Q

SSRI therapeutic class

A

Floxetine ( Prozac)
Sertraline (Zoloft )
Paroxetine (Paxil)
Citalopram (celexa)
Escitalopram ( lexapro)

25
Q

SSRI Indications

A

Treat anxiety disorders
Depression
OCD
PTSD

26
Q

Side effects of SSRI

A

Nausea
Headache
Insomnia
Sexual dysfunction
Drowsiness
Dizziness
Weight gain
Risk of suicidal thought
Withdrawal syndrome - must TAPER dose with long term use

27
Q

Nursing considerations for SSRI

A

Can interact with other medications “ANTIPLATELET”, NSAIDS, anticoagulant drugs
Increased risk of bleeding , suicidal thoughts , behavior
Change in mood
P.T. Can grind there teeth , recommend a mouth guard

28
Q

SNRI ANTIDEPRESSANTS

A

*Similar to SSRI
*Can NOT take SSRI & SNRI at same time
*Increases serotonin and norepinephrine in brain
*Takes up to 4 weeks for therapeutic effect , take aT same time everyday

29
Q

SNRI therapeutic class

A

Serotonin norepinephrine reuptake inhbitor
Venlafaxine (EFFEXOR)
Duloxetine ( CYMBALTA)
Desvenlafaxine (pristiq)

30
Q

SNRI Indications

A

Major depressive disorders
Anxiety
Panic disorder

31
Q

SNRI Side effects

A

Nausea
Headache
Isnomnia
Sexual dysfunction
Drowsiness
Dizziness
Weight gain
Suicidal risk
Withdrawal syndrome

32
Q

Tricyclic antidepressants

A

First anti depressant
TCA does not use anymore bc of major side effects
Takes 10-14 days to work 4-8 weeks for full effect
Narrow therapeutic window = drawing blood

33
Q

Tricyclic therapeutic class

A

Amitriptyline (ELAVIL)
Nortriptyline (PAMELOR)

34
Q

Tricyclic indications

A

Major depressive disorder, anxiety , panic disorder

35
Q

Tricyclic side effects

A

Dry mouth
Blurry vision
Constipation
Dizzy
Weight gain
Hypotension
Urinary retention
Cardiac dysthymia

36
Q

MAO inhibitor

A

Only prescribed when nothing else works
Take 1-3 weeks 2-3 months for full therapeutic effect
Diet is needed with this med (avoid tyramine )
It can lead to Hyponatremia (low sodium)
Avoid other medications without telling provider
Taper off med 14 days before surgery

37
Q

MAO classification

A

Phenelzine (nardil)
Isocarboxazid ( Marplan)

38
Q

MAO indication

A

Treatment to depression when other antidepressants doesn’t work

39
Q

MAO side effects

A

Dizziness
Headache
Dry mouth
Constitution
Blurry vision
Sexual dysfunction
Serotonin syndrome

40
Q

Can you take SNRI & SSRI together

A

No

Pharmacology 120 NUR120 (1 decks)

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