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Pharm unit 1 > Anxiety And Insomnia > Flashcards

Anxiety And Insomnia Flashcards

1
Q

Barbiturates action

A

CNS depressants
Act in the reticular formation of the brainstem
Inhibit never impulse transmission by potentiating GABA action

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2
Q

Barbiturates uses

A

Anesthesia for short surgical procedures
Control convulsions
Reduce ICP in neuro patients
Prophylaxis of seizures

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3
Q

Barbiturates adverse effects

A 
Less REM sleep
Hangover feeling
Dizziness
Hypotension
Nausea
Respiratory depression
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4
Q

Short acting barbiturates

A

Pentabarbital

Secobarbital

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5
Q

Intermediate acting barbiturate

A

Butarbital

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6
Q

flumazenil

A

Romazicon

Reversal agent for benzos

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7
Q

Long acting barbiturates

A

Phenobarbital - prototypical

Mephobarbital

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8
Q

Benzodiazepines uses

A

Preferred med to treat anxiety and insomnia
Do not cause life threatening resp depression
Shorten time to fall asleep, less interrupted sleep

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9
Q

zolpidem

A

Ambien

Sleep

Nonbenzo

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10
Q

Benzos action

A

Affect type 1 and 2 GABA receptors - stimulate release of GABA
Schedule 4

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12
Q

Muscle relaxant uses

A

Relief of painful muscle spasm
Multiple sclerosis
Rx of malignant hyperthermia

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13
Q

Benzos uses

A 
Sedation
Decr anxiety
Sleep induction
Anxiety related depression
Acute seizure disorders

Reduced memory when combined with anesthetics

Give 30 min before bed

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14
Q

Benzos adverse effects

A 
Sedation, decreased alertness
Hypotension
Confusion
Amnesia
Agitation 
Hepatoxicity
Tolerance
Habituation
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15
Q

BuSpar

A

buspirone

Misc agent for anxiety

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16
Q

Benzos contraindications

A

Pregnancy/lactation - cat X

<18 years

Glaucoma

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18
Q

Valium

A

diazepam

Benzo

19
Q

Misc agents adverse effects

A 
Sedation
Decr alertness
Restlessness
Anxiety
Take on empty stomach
Do not give <18
20
Q

Restoril

A

temazepam

Benzo

21
Q

Muscle relaxants side effects

A

Lightheadedness
Drowsiness
Fatigue
Upset GI

22
Q

Benzos teaching

A

Lowest dose possible

Do not mix with alcohol

Increased risk for falls

Rebound insomnia

Paradoxical reaction in elders

22
Q

lorazepam

A

Ativan

Benzo

23
Q

Lunesta

A

eszoplicone

Misc agent for asleep

Nonbenzo

25
Q

midazolam

A

Versed

Benzo

25
Q

baclofen

A

Lioresal

Muscle relaxant

25
Q

Flexeril

A

cyclobenzaprine

Muscle relaxant

26
Q

Muscle relaxants action

A

Works within CNS

Affects skeletal muscles by decreasing the amount of calcium released from storage sites in muscle fibers

Pharm unit 1 (3 decks)

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