Anxiotlytics

Question 1

Benzodiazapines

Answer 1

Most common:
clonazepam
diazepam
alprazolam
lorazepam
Oxazepam

Chlordiazepoxide
Clorazepate

Question 2

Buspirone

Answer 2

action:

5-HT1A agonist
D2 agonist
D2 antagonist

desired outcome:
Relieves anxiety

S/E
Nausea, headache, dizziness
Restlessness

Question 3

interactions of Anxiiolytics

Answer 3

■Increased effects of antianxiety agents can occur when they are taken concomitantly with alcohol, barbiturates, narcotics, antipsychotics, antidepressants, antihistamines, neuromuscular blocking agents, cimetidine, or disulfiram.

■The FDA (2016a) added a boxed warning (its strongest warning) related to the serious risks and possible death associated with combining benzodiazepines with opioid pain or cough medicines.

■Increased effects can also occur with herbal depressants (e.g., kava, valerian, lemon verbena, L-tryptophan, melatonin, and chamomile).

■Decreased effects can be noted with cigarette smoking and caffeine consumption.

Question 4

Nursing interventions for anxiolytics (Benzo’s)

Answer 4

*Do no stop abruptly- must taper off

*may cause drowsiness: do not operate heave machinery/drive

*No not mix with alcohol and other CNS depressants including:
antihistamines, cimetidine, antidepressants, neuromuscular blocking agents, or disulfiram while taking these drugs.

Question 5

Black box warning for Benzo’s

Answer 5

do not mix with opioid medications or cough meds

Question 6

blood dyscrasias

Answer 6

assess for sore throat, fever, bruising or unusual bleeding