anxiety Flashcards

1
Q

anxiety Attacks occur at night in about_______ of patients and may not occur while awake.

A

one third

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2
Q

Precipitants of panic attackes

A

Alpha-2 antagonists, such as yohimbine, increase available norepinephrine and can precipitate panic attacks, as do lactate infusions and breathing C02

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3
Q

Panic is more prevalent in women or men

A

women

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4
Q

Describe OCD

A
  1. OCD is a brain disease – in which serotonin dysregulation appears to play a significant role, particularly in the striatum, part of the basal ganglia, which includes the caudate and lentiform nucleus. Now thought to be a separate disorder & no longer categorized with the other anxiety disorders.
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5
Q

Anxiety treatments

A

Antidepressants, especially selective serotonin reuptake inhibitors and novel antidepressants such as venlafaxine (which could just as easily be called anti-anxiety agents instead of anti-depressants) and psychotherapeutic treatments, particularly behavioral treatments such as Cognitive Behavioral Treatment

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6
Q

Dosing of antidepressants in anxiey

A

start at 1/2 dose

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7
Q

Anxiety and cardiac disease

A

Anxiety in men and women influences the onset of cardiac disease via stress induced atherosclerosis, and endothelial dysfunction and reduced heart-rate variability.

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8
Q

How does anxiety affect the heart and vasculature

A
  1. Depression and anxiety disorders can adversely affect heart rhythms, increase blood pressure, alter blood clotting, and lead to elevated insulin and cholesterol levels
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9
Q

Anxiety and hormones

A

Depression and anxiety disorders can lead to chronically elevated levels of cortisol and norepinephrine

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10
Q

Generalized anxiety disorder and COPD

A

General anxiety disorder (GAD) and panic disorder occur at higher rates in people with COPD than in the general population

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11
Q

Which diseases can nocturnal panic attacks be confused with

A
  1. Nocturnal panic attacks can be confused with nocturnal cardiac ischemia, obstructive sleep apnea, COPD, and gastro-esophageal reflux disease.
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