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MENTAL HEALTH > Ch 19 Meds For Anxiety Disorders > Flashcards

Ch 19 Meds For Anxiety Disorders Flashcards

1
Q

What are uses for benzodiazepines

A

Generalized anxiety disorder and panic disorder
Seizures, insomnia, muscle spasm, alcohol withdrawal
Induction of anesthesia
Amnesic prior to surgery or procedures

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2
Q

What is anterograde amnesia

A

Difficulty recalling events that occur after dose

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3
Q

What are side effects of benzodiazepines

A

CNS depression such as sedation, light headedness,ataxia, decreased cognitive function
Anterograde amnesia
Paradoxical response
Withdrawal effects

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4
Q

What are the 2 benzodiazepines approved for IV use

A

Diazepam

Lorazepam

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5
Q

Diazepam is contraindicated in who

A

Ppl with sleep apnea, respiratory depression, and or glaucoma
Use cautiously in ppl who have liver disease and or a history of substance use disorder

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6
Q

How long are benzodiazepines recommended

A

For short term use due to risk for dependence

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7
Q

What drug class does buspirone ( Buspar) belong to

A

Atypical anxiolytics/ non barbituate anxiolytics

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8
Q

What are the therapuetic uses of atypical anxiolytics buspirone ( Buspar)

A

Panic disorder
OCD RELATED DISORDERS
Social anxiety disorder
PTSD

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9
Q

What are side effects of buspirone ( Buspar)

A

CNS effects such as dizziness, nausea, headache, light headedness, agitation

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10
Q

What is pt education regarding atypical anxiolytics such as buspirone ( Buspar)

A

This med does not interfere with activities, because it DOES NOT CAUSE SEDATION

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11
Q

What are contraindications of the atypical anxiolytic buspirone ( Buspar)

A

Pregnancy category B
Do not use if breastfeeding
Use cautiously in older adults as well as ppl who have liver and or renal dysfunction
MAOIs may cause hypertensive crisis

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12
Q

What are med/ food interactions of the atypical anxiolytic buspirone ( Buspar)

A

Erythromycin, ketonazole, St. John’s wort & Grapefruit juice may increase the effects of buspirone

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13
Q

What is nursing education regarding buspirone

A

Take with meals to avoid gastric irritation
It takes 3-6 weeks to reach therapuetic effect
Tolerance, dependence, and withdrawal manifestations are not a issue

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14
Q

Bruxism

A

Grinding and clenching of teeth during sleep

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15
Q

What are side effects of SSRIs

A 
Sexual dysfunction
Weight gain 
GI BLEEDING
Hyponatremia with older adults 
Serotonin syndrome, Bruxism, withdrawal syndrome
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16
Q

Paroxetine is contraindicated in who

A

Concurrent use of MAOI or TCAs can cause serotonin syndrome
Alcohol
Use cautiously in bipolar disorder due to the risk for mania.

17
Q

What is education for the SSRI paroxetine (Paxil)

A

Take with food
Take in am to minimize sleep disturbances
Take daily to establish therapeutic plasma levels.
May take up to 4 weeks to reach desired result.

18
Q

What side effect is an indication of diazepam toxicity

A

Confusion is a potential indication of toxicity that should be reported to the provider

19
Q

What symptoms are an indication of serotonin syndrome

A 
Hallucinations
Daiphoresis
Agitation
Fever 
Muscle tremors
20
Q

What are the therapeutic uses of the SSRI paroxetine ( Paxil)

A 
Generalized anxiety disorder 
Panic disorder 
OCD
Social anxiety disorder
Trauma and stressor related disorders ( PTSD)
Depressive disorders
21
Q

What is sertraline indicated for

A

Panic disorder
OCD
Social anxiety disorder
PTSD

22
Q

What is escitalopram indicated for

A

GAD

OCD

23
Q

What is fluoxetine indicated for

A

Panic disorder

GAD

24
Q

What is fluvoxamine indicated for

A

OCD

Social anxiety disorder

25
Q

What are the major meds to treat anxiety disorder

A

Benzodiazepines
Atypical anxiolytics such as buspirone ( Buspar)
SSRIs such as paroxetine ( Paxil) sertraline ( Zoloft)
SNRIs such as venlafaxine ( Effexor)
TCAs such as Amitriptyline and clomipramine
Antihistamines, beta blockers, anticonvulsants such as gabapentin

MENTAL HEALTH (17 decks)

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