chp 19: meds for anxiety disorder

Question 0

enhances the inhibitory effects of gamma-aminobutyric acid (GABA) in CNS
relief from anxiety occurs rapidly following admin

Answer 0

benzodiazepine sedative hypnotic anxiolytics

Question 1

benzodiazepine sedative hypnotic anxiolytics

Answer 1

xanax
valium
ativan
librium
tranxene
serax
klonopin

Question 2

benzodiazepines are contraindicated in pt with

Answer 2

sleep apnea
resp depression
glaucoma

Question 3

benzodiazepines adverse effects

Answer 3

CNS deprssion
anterograde amnesia: difficulty recalling events that occur after dosing
insomnia, euphoria, anxiety, rage

Question 4

after taking….

on a high dose regularly pt should taper the dose over several weeks

Answer 4

diazepam
withdrawal effects include: anxiett, insomnia, diaphoresesis, tremors
***avoid abrupt discontinuation of all benzos

Question 5

atypical anxiolytic/nonbarbiturate anxiolytics meds

Answer 5

BuSpar

Question 6

adverse effects of atypical anxiolytic/nonbarbiturate anxiolytics

Answer 6

CNS effects: dizziness, nausea, headache, light-headedness

doenst cause sedation

Question 7

BuSpar is contraindicated for concurrent use with MAOI antidepressants
Can use after MAOIs have been discontinued for…

Answer 7

14days

***if sooner, may result in hypertensive crisis

Question 8

when taking BuSpar, avoid taking

Answer 8

erthromycin
ketoconazole
St. John's wort
grapefruit juice
***they increase the effects of BuSpar

Question 9

nursing admin teaching

Answer 9

advise pt that effects dont occur immediately: it may take up to
3-6 weeks to reach full therapeutic benefits
***medication should be taken on a regular basis not on an as needed basis

Question 10

SSRIs meds

Answer 10

Paxil
Zoloft
Lexapro
Prozac
Luvox

Question 11

are the first line treatment for trauma and stressor related disorders

Answer 11

SSRIs

Question 12

adverse effects of SSRIs

Answer 12

weight gain 20lbs
hyponatremia
difficulty concentrating
anxiety
hallucinations
bruxism: grinding of teeth

Question 13

a nurse working in a mental health clinic is providing teaching to a client who has a new prescription for valium for generalized anxiety disorder. which is appropriate to include in the teaching

Answer 13

report confusion as a potential indication of toxicity

Question 14

nurse working in ED is caring for a client who has bezodiazepine toxicity due to an overdose. which of the following is the priority nursing action

Answer 14

identify the client’s level of orientation

Question 15

a nurse is caring for a client who is to begin taking Prozac for treatment of generalized anxiety disorder. which of the following statements indicates the client understands the use of the med?

Answer 15

i will need to discontinue this med slowly

**take this med in morning and expect weight gain

Question 16

a nurse is assessing a client 4hrs after receiving an initial dose of Prozac. which of the following findings should the nurse report to the provider as an indication of serotonin syndrome

Answer 16

hallucinations
diaphoresis
agitation
muscle tremors
fever

Question 17

a nurse is caring for a pt who takes Paxil to treat PTSD. the client states that he grinds his teeth during the night which causes pain in his mouth. the nurse should identify which of the following as possible measures to manage the client’s bruxism

Answer 17

concurrent admin of BuSpar
using a mouth gaurd
changing to a different class of antianxiety meds