Anxiety

Question 1

serotonin is deficient in anxiety and depression, t or f

Answer 1

true

Question 2

norepinephrine is decreased in depression and increased in anxiety, t or f

Answer 2

true

Question 3

1st line drug class to treat anxiety

Answer 3

SSRI (Prozac) and SNRI (Effexor)

Question 4

2nd or 3rd line drug class to treat anxiety

Answer 4

tricyclic antidepressants

Question 5

what is the serotonin syndrome s/e in SSRI’s

Answer 5

increased BP, pulse, sweating, fever

Question 6

what should you do if pt. experiences serotonin syndrome r/t SSRI

Answer 6

stop the drug and it will resolve

Question 7

withdrawal syndrome r/t SSRI’s presents like this

Answer 7

the flu - dizzy, lightheaded, out-of-body

Question 8

how do we treat withdrawal syndrome

Answer 8

begin taking the SSRI again and it will resolve

Question 9

when would a pt. experience serotonin syndrome

Answer 9

2-72 hrs. after taking the drug

Question 10

when would a pt. experience withdrawal syndrome

Answer 10

as early as 1 day after stopping med up to 3 weeks

Question 11

teaching r/t SSRI’s

Answer 11

don’t stop taking the med

Question 12

SNRI is approved to treat (Effexor and Cymbalta)

Answer 12

generalized anxiety disorder

social anxiety disorder

Question 13

how long will pt. be on SRNI for social anxiety disorder

Answer 13

a full yr.

Question 14

how long will pt. be treated for depression

Answer 14

9 months

Question 15

1st line for short term mgmt. of anxiety (panic attack)

Answer 15

Benzo’s

Question 16

Benzo’s are prescribed for first week of treatment on SSRI to offset symptoms of SSRI’s (insomnia), t or f

Answer 16

true

Question 17

if taking a Benzo avoid this

Answer 17

alcohol

Question 18

taper Benzo’s slowly, t or f

Answer 18

true

Question 19

Buspar is an SSRI class, t or f

Answer 19

false, Buspar is not in a class

Question 20

how is Buspar used

Answer 20

tried before a Benzo along with SSRI to increase benefits

anti-anxiety

Question 21

is Buspar addictive

Answer 21

no - not addictive

Question 22

how long does it take to see the benefits of Buspar

Answer 22

3 weeks

Question 23

beta blockers (Inderal and Tenormin) are used to treat

Answer 23

performance anxiety (stage fright)

Question 24

alternative therapy for anxiety

Answer 24

substance use disorders - anti-histamines (Benadryl),

Neurontin (gabapentin)

Question 25

what should be used in combination with SSRI’s

Answer 25

therapy

Question 26

therapy of choice for panic disorders

Answer 26

CBT(cognitive behavioral therapy) with SSRI or TCA’s

Question 27

drug of choice for OCD

Answer 27

SSRI (Luvox)

Question 28

drug of choice for social anxiety disorder

Answer 28

SSRI

Question 29

treatment of choice for PTSD

Answer 29

exposure based therapy (psychotherapy)

Question 30

Rene, a restaurant manager, is hospitalized after working 15-hour days for several weeks. Her anxiety level is severe upon admission. She has not slept well during the past 2 weeks. Her psychiatrist has orderedamitriptyline (Elavil) 25 mg, to be administered orally, three times daily. Rene asks you, her nurse, why she is so drowsy. What is your best response?

Answer 30

A. “Drowsiness is a side effect of this medication.”

Question 31

medications used to treat anxiety

Answer 31

SSRI
SNRI
Benzo's 
TCA
Beta-Blocker's
A-Typical Benzo's