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ATI: PHARM > ATI CH 7 anxiety disorders > Flashcards

ATI CH 7 anxiety disorders Flashcards

1
Q

Name selected antidepressants used to treat anxiety disorders.

A

Parozetine( Paxil).. A selective serotonin reuptake inhibitor (SSRI)
Sertraline( Zoloft).. (SSRI)
Venlafaxine( Effexor).. A serotonin-norepinephrine reuptake inhibitor (SNRI)

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2
Q

Name some antidepressants that help treat anxiety disorders.

A

Amitriptyline (Elavil)..a tricyclics antidepressant (TCA)

Clomipramine (Anafranil) (TCA)

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3
Q

Name a antihistamine that helps treat anxiety disorders.

A

The antihistamine hydroxyzine (Vistaril)

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4
Q

Name a beta blocker that helps treat anxiety disorders.

A

Propranolol ( Inderal)

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5
Q

Name a anticonvulsant that helps treat anxiety disorders

A

The anticonvulsant gabapentin (Neurontin) helps treat anxiety disorders.

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6
Q

What is the prototype drug for this class of drugs…Sedative hypnotic anxiolytic-benzodiazepine

A

alprazolam (Xanax)

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7
Q 
What are other meds in the class of 
SEDATIVE HYPNOTIC ANXIOLYTICS - BENZODIAZEPINE
A 
diazepam (Valium)
lorazepam (Ativan)
chlordiazeapoxide ( Librium)
clorazepate (Tranxene)
oxazepam (Serax)
clorazepate ( Klonopin)
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8
Q

What does diazepam enhance?

A

Diazepam enhances the inhibitory effects of gamma- aminobutyric acid in the CNS. relief from anxiety occurs rapidly after administration.

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9
Q

What are uses for BENZODIAZEPINES

A 
Generalized anxiety disorder (GAD) & panic disorder
Seizure disorders
Insomnia
Muscle spasm
Alcohol withdrawal
Induction of anesthesia
Amnesiac prior to surgery or procedures
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10
Q

What pregnancy category is diazepam?

A

Category D

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11
Q

What schedule of drugs is BENZODIAZEPINES considered?

A

Class 4.

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12
Q

Diazepam is contraindicated in clients who…

A

Have sleep apnea, respiratory depression, and or glaucoma.
Use diazepam cautiously in clients who,have liver disease and or a history of mental illness or a substance use disorder.
They are typically used short term due to the risk 4 dependence

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13
Q 
What is the prototype drug of the class of drugs
ATYPICAL ANXIOLYTICS/NON BARBITUATE ANXIOLYTIC
A

buspirone (BuSpar)

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14
Q

What are the therapeutic uses of

ATYPICAL ANXIOLYTIC/NONBARBITUATE ANXIOLYTIC

A

panic disorder
Social anxiety disorder
Obsessive- compulsive and related disorders
Trauma and stressor related disorders(PTSD)

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15
Q

Buspirone

A

Pregnancy category B
Not recommended for woman who are breastfeeding
Use cautiously in older adults and clients who have liver or kidney dysfunction

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16
Q

Name some medication and food interactions that react with Buspirone.

A

Erythromycin
Ketoconazole
St. John’s wart
Grapefruit juice

17
Q

What is the prototype drug of
SELECTIVE SEROTONIN REUPTAKE INHIBITORS
(SSRI ANTIDEPRESSANTS)

A

paroxetine(Paxil)

18
Q

What are other SSRI ANTIDEPRESSANTS

A

sertraline (Zoloft)
escitalopram (Lexapro)
fluoxetine (Prozac)
fluvoxamine (Luvox)

19
Q

What is pharmalogical action of paroxtine?

A

Paroxetine selectively inhibits serotonin reuptake, allowing more serotonin to stay at the junction of the neurons

20
Q

Paroxetine

A

Does not block uptake of dopamine or norepinephrine
Causes CNS stimulation which can cause insomnia
Has a long half life/ a time frame of 4 was is necessary to produce therapeutic med levels

21
Q

What are uses of paroxetine ( Paxil)?

A 
GAD
panic disorder
OCD
social anxiety disorder
Trauma & stressor related disorders
22
Q

What is sertraline (Zoloft) indicated for?

A

Panic disorder
OCD
social anxiety disorder
PTSD

23
Q

What is escitalopram (Lexapro) used for?

A

GAD

OCD

24
Q

What is fluxetine (Prozac) used for?

A

Panic disorder

OCD

25
Q

What is fluvoxamine (Luvox) used for?

A

OCD

social anxiety disorder

26
Q

What are the contraindications/precautions of Paroxetine?

A

It is contraindicated in clients taking MAOI’s or a TCA
pregnancy category D
avoid alcohol
Use cautiously in clients who,have liver and kidney dysfunction, seizure disorders or a history of GI bleeding.

27
Q

What are 2 subgroups of sedative-hypnotics?

A

Benzodiazepines

Barbiturates

28
Q

What are the 2 suffixes for benzodiazepines?

A
  • azepam……diazepam, lorazepam,

- azolam………..midazolam, alprazolam

29
Q

What are suffixes for barbituates?

A
  • Pental………..Thiopental

- barbital……..Phenobarbitol

30
Q

Name the major medications used to treat anxiety disorders.

A

Benzodiazepine sedative anxiolytics
Atypical anxiolytics/ nonbarbitrate anxiolytics
Selected antidepressants

ATI: PHARM (39 decks)

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