anxiety ppt

Question 1

CNS depressants
anxiolytics
hypnotics

which is given for sleep

Answer 1

hypnotics

Question 2

what is anxiety

Answer 2

nervousness, tension, worry
When anxiety is *severe or prolonged and *impairs the ability to function in usual activities of daily living, it is called an **anxiety disorder

Question 3

which NTM are involved with anxiety and what body system is involved

Answer 3

GABA is the major inhibitory neurotransmitter

Serotonin system involved with mood – anxiety and depression

Question 4

which endocrine gland might be involved with anxiety.

how can this gland also be implicated in depression

Answer 4

***neuroendocrine factors-the thyroid

Hyperthyroidism-can give feeling of anxiety while hypo can give depression

Question 5

when pt is anxious are you trying to inc or dec GABA

what drugs might you give

Answer 5

drugs that increase GABA help control anxiety (benzo’s, valproate)

Question 6

weird slide on sleep….
what is sleep

how long is a sleep cycle and what occurs during it

Answer 6

***Sleep- recurrent period of decreased mental and physical activity
Initial period of drowsiness or sleep latency
Cycles occur approximately every 90
5 to 20 minutes of REM, dreaming, and increased physiologic activity

Question 7

do older adults share sleep patterns with younger people

what is the benefit of sleep

Answer 7

Older adults often have a different pattern

Mentally and emotionally restorative

Question 8

what is **insomnia

Answer 8

**prolonged difficulty in going to sleep or staying asleep

Question 9

When using flumazenil (Anexate) as an antidote for benzodiazepine overdose, the nurse should
Administer the antidote IM into a large muscle.
Inject the antidote IV push over 5 seconds.
Observe for re-sedation after administration of the antidote.
Administer the antidote one time only.

Answer 9

C
Flumazenil is the antidote for benzodiazepine overdose. It competes with benzodiazepines for benzodiazepine receptors and reverses toxicity. Cardiopulmonary supportive measures may be required.

Question 10

When administering benzodiazepines to patients with malnutrition or liver disease, the nurse should monitor carefully for
toxicity
withdrawal
paradoxical excitation
seizures

Answer 10

A-confusion (delirium like)…

Question 11

Which statement would indicate to the nurse the need for further patient teaching?
“I only use my medication when I really need it.”
“I avoid smoking after taking my sleeping pill.”
“I skip my evening glass of wine when I take my sleeping pill.”
“My sister often has a sleep problem similar to mine.”

Answer 11

A-“I only use my medication when I really need it.”