Anxiety Flashcards
serotonin is deficient in anxiety and depression, t or f
true
norepinephrine is decreased in depression and increased in anxiety, t or f
true
1st line drug class to treat anxiety
SSRI (Prozac) and SNRI (Effexor)
2nd or 3rd line drug class to treat anxiety
tricyclic antidepressants
what is the serotonin syndrome s/e in SSRI’s
increased BP, pulse, sweating, fever
what should you do if pt. experiences serotonin syndrome r/t SSRI
stop the drug and it will resolve
withdrawal syndrome r/t SSRI’s presents like this
the flu - dizzy, lightheaded, out-of-body
how do we treat withdrawal syndrome
begin taking the SSRI again and it will resolve
when would a pt. experience serotonin syndrome
2-72 hrs. after taking the drug
when would a pt. experience withdrawal syndrome
as early as 1 day after stopping med up to 3 weeks
teaching r/t SSRI’s
don’t stop taking the med
SNRI is approved to treat (Effexor and Cymbalta)
generalized anxiety disorder
social anxiety disorder
how long will pt. be on SRNI for social anxiety disorder
a full yr.
how long will pt. be treated for depression
9 months
1st line for short term mgmt. of anxiety (panic attack)
Benzo’s
Benzo’s are prescribed for first week of treatment on SSRI to offset symptoms of SSRI’s (insomnia), t or f
true
if taking a Benzo avoid this
alcohol
taper Benzo’s slowly, t or f
true
Buspar is an SSRI class, t or f
false, Buspar is not in a class
how is Buspar used
tried before a Benzo along with SSRI to increase benefits
anti-anxiety
is Buspar addictive
no - not addictive
how long does it take to see the benefits of Buspar
3 weeks
beta blockers (Inderal and Tenormin) are used to treat
performance anxiety (stage fright)
alternative therapy for anxiety
substance use disorders - anti-histamines (Benadryl),
Neurontin (gabapentin)
what should be used in combination with SSRI’s
therapy
therapy of choice for panic disorders
CBT(cognitive behavioral therapy) with SSRI or TCA’s
drug of choice for OCD
SSRI (Luvox)
drug of choice for social anxiety disorder
SSRI
treatment of choice for PTSD
exposure based therapy (psychotherapy)
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?
A. “Drowsiness is a side effect of this medication.”
medications used to treat anxiety
SSRI SNRI Benzo's TCA Beta-Blocker's A-Typical Benzo's
