CNS Depressants

Question 1

Compare Sedatives and Hypnotic meds

Answer 1

Both inhibit CNS and reduce
-nervousness
-excitability
-irritability

Hypotics cause sleep, more potent on CNS

Question 2

DIAZEPAM

Answer 2

-Benzodiazepine
-sedation and anesthesia adjunct
-anticonvulsant therapy
-skel. muscle relaxation

Question 3

MIDAZOLAM
-must have?

Answer 3

-Benzodiazepine
-preop & moderate sedation
-causes amnesia and anxiolysis
-High alert med- respiratory risk
-must have resuscitation equipment

Question 4

What is the benzodiazepine reversal agent?

Answer 4

Flumazenil

Question 5

What are the 2 main risks with barbiturate overdose?

is there an antidote?

Answer 5

EMERGENCY
-respiratory depress- arrest
-CNS depress- coma - death

NO ANTIDOTE

Question 6

PHENOBARBITAL

Answer 6

long acting barbiturate
-seizure prevention
-no longer used as a hypnotic

Question 7

PENTOBARBITAL

Answer 7

short acting barbiturate
-pre-op anxiety/sedation
-status epilepticus

Question 8

What AE is the biggest concern with muscle relaxants?

Answer 8

Respiratory depression

Question 9

List the 4 muscle relaxants

Answer 9

Banclofen
Cyclobenzaprine
Carisoprodol
Methocarbamol

Question 10

Which muscle relaxer is used for malignant hyperthermia?

Answer 10

Dantrolene