Anxiety Disorders Benzodiazepine Sedative Hypnotic Anxiolytics Class.

Question 1

What medications fall into the Benzodiazepine Sedative Hypnotic Anxiolytics Class

Answer 1

• Alprazolam (xanax)(most used)
• Diazepam (Valium
• Lorazepam (Ativan)
• Chlordiazepoxide (Librium)
• Clorazepate (Tanxene)
• Oxazepam (serax)
• Clonazepam (Klonopin)

Question 2

What is the Expected Pharmacological Action of Benzodiazepine Sedative Hypnotic Anxiolytics Class?

How long until relief Occurs?

Answer 2

• Diazepam Enhances the inhibitory effects of gamma-anmniobutyric acid (GABA) in the Central Nervous System.
• Relief from anxitey occurs Rapidly following administration

Question 3

What are the Theraputic Uses for Benzodiazepine Sedative Hypnotic Anxiolytics Class.

Answer 3

Generalized anxiety Disorder & Panic Disorders

Question 4

What are some other uses for Benzodiazepine Sedative Hypnotic Anxiolytics Class?

Answer 4

• Seziure Disorders
• Insomnia
• muscle spasm
• Alcohol Withdrawl (prevention & Treatment of Acute symptoms)
• Induction of Anesthesia
• Amnesic prior to surgery or procudures

Question 5

What are the CNS complications from Benzodiazepine Sedative Hypnotic Anxiolytics Class, and what is the teaching and interventions as such

Answer 5

1. CNS Depression, such as sedation, light-headedness, ataxia(loss of control of body movements)
2. Decreased Cognetive functions
3. Antorgrade Amnesia-Difficulty recalling events that occure after dosing
4. Teaching/Interventions

• Advise Client to observer for manifestations. Instruct the client to nitify the provider if effects occur
• Advise the client to avoid hazardous activities (Driving, Operatation of Heavy Machinery/Equipment)
  
  • Advise the Client to observe for manifestations. Instruct Client to notify the MD and withhold the medications if effest occur.
    *

Question 6

What types of Toxicity can occur from Benzodiazepine Sedative Hypnotic Anxiolytics Class?

What are the interventions and teachings related to each

Answer 6

• Accute Toxicity- Advise the Client and Family to observe for manifestations of overdose. Notify MD if these occur
• Oral Toxicity- Drowsiness, Lethargy, Confusion: For oral toxicity, gastric lavage is used, followed by the administration of activated charcoal, or Sailne carhartics,
• IV Toxicity- Respiratory Depression, Severe Hypotension, Cardiac Arrest.
  
  • Benzodiazepines for IV use include Diazepam(valium) and Lorazepam(ativan)
• Interventions For both toxicitys include:
  
  • Adminstration of Flumazenil(Romazicon) to counteract Sedation and reverse adverse effects
  • Monitor Client Vital signs, Maintain Patent airway, and provide fluids to maintain Blood Pressure
  • Ensure Availability of Resuscitation equipment
    • Ensure Availability of resuscitation equipment

Question 7

Benzodiazepine Sedative Hypnotic Anxiolytics Class can cause the adverse effect of Paradoxial Response. What is this and what are the interventions and treatment

Answer 7

Paradoxial Response is- Insomnia, excitation, Euporia, Anxiety, and Rage

Advise the Patient to observe for indications, Instruct th patient to notify MD if Paradoxial response occurs

Question 8

What are the Withdrawl effects of Benzodiazepine Sedative Hypnotic Anxiolytics Class.

Answer 8

Withdrawl Effects include anxiety, insomnia, diaphoresis, tremors, and light headedness. WIthdrawl, occurs infrequently with short term use.

After taking Diazepam regularly In high doses, the client should taper the dose over several weeks using a prescribed tapered dosing Schedule to avoid withdrawl issues.

Question 9

What are the Contraindications and Precautions for Benzodiazepine Sedative Hypnotic Anxiolytics Class.

Answer 9

• Diazepam is a Pregnancy Risk Category D Med
• Benzodiazepine’s are classified under Schedule IV or the Controlled substance act
• Diazeam is contraindcated in clients who have sleep apnea, Respiratory Depression, and/or Glaucoma
• Use Diazepam caustiouls in clients who have liver disease and/or a history of substance use disorder
  
  • Benzodiazepine’s are generally used short-term due to the reisk for dependence.

Question 10

What are the medication and Food interactions for Benzodiazepine Sedative Hypnotic Anxiolytics Class.

Answer 10

CNS Depressants, such as alcohol, barbituates, and opioids, may cause respiratory depression.

Advise the Client to avoid alcohol and oher substances that cause CNS depression

Advist the client to avoid hazardous activities( Driving, Operation of Heavy equipment Machinery.

Question 11

Nusring Admistration of Benzodiazepine Sedative Hypnotic Anxiolytics Class.

Answer 11

• Advise Client to take Med as prescribed, and to avoid discontiuation of the treatment to prevent withdrawal manifestaions.
• When discontinuing Benzodiazepines, that have been taken Regularly for long periods and in higher doses, taper the dose over several weeks using a prescribed dosing schedule
• Administer Mdidicaiton with meals or snacks if GI upset occures
• advise the client to swallow sustained-release tablets and to avoid chewing or crushing the tablets
• Instruct the client about the potenntial for dependency during and after treatment and notify md if indications of withdrawal occur