Medications for Anxiety and Trauma- and Stressor- Related Disorders Flashcards

1
Q

Benzodiazepines are used to treat …

-lam; -pam

A

Anxiety Disorders

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2
Q

Benzodiazepine medications

-lam; -pam [-poxide; -pate

A
prototype: alprazolam
other:
diazepam
lorazepam
chlordiazepoxide
clorazepate
oxazepam
clonazepam
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3
Q

Benzodiazepine is the first-line treatment for …

-lam; -pam

A

Generalized anxiety disorder (GAD) and panic disorder

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4
Q

Benzodiazepine side effects

-lam; -pam

A

CNS depression

Anterograde amnesia

Acute toxicity

Paradoxical response

Withdrawal effects

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5
Q

Benzodiazepine (-lam; -pam) S/E: CNS depression

A

sedation, lightheadedness, ataxia, decreased cognitive function

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6
Q

Benzodiazepine (-lam; -pam) S/E: anterograde amnesia

A

difficulty recalling events that occur after dosing

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7
Q

Benzodiazepine (-lam; -pam) S/E: acute toxicity

A

oral toxicity
* drowsiness, lethargy, confusion
IV toxicity
* respiratory depression, severe hypotension

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8
Q

Benzodiazepine (-lam; -pam) S/E: paradoxical response

A

insomnia, excitation, euphoria, anxiety, rage

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9
Q

Benzodiazepine (-lam; -pam) S/E: withdrawal effects

A

anxiety, insomnia, diaphoresis, tremors, lightheadedness, delirium and seizures

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10
Q

Benzodiazepine (-lam; -pam) contraindications

A

clients with sleep apnea, respiratory depression, glaucoma

cautiously in clients with liver disease or history of a substance use disorder

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11
Q

Benzodiazepine (-lam; -pam) nursing administration

A

avoid abrupt discontinuation of treatment to prevent withdrawal manifestations
(taper)

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12
Q

Atypical anxiolytic/ nonbarbiturate anxiolytics are used to treat

A

panic disorder
OCD
social anxiety disorder
GAD

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13
Q

Atypical anxiolytic/ nonbarbiturate anxiolytics medication

A

buspirone

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14
Q

Atypical anxiolytic/ nonbarbiturate anxiolytics (buspirone) S/E

A

CNS effects

* dizziness, nausea, headache, lightheadedness, agitation

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15
Q

Atypical anxiolytic/ nonbarbiturate anxiolytics (buspirone) contraindications

A

use cautiously in older adult clients, as well as clients who have liver or renal dysfunction

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16
Q

Atypical anxiolytic/ nonbarbiturate anxiolytics (buspirone)

How long until the med takes effect

A

at least 2-6 weeks to reach full effect

17
Q

Benzodiazepine (-lam; -pam) interaction

A

CNS depressants such as alcohol, barbiturates, opioids can cause respiratory depression

18
Q

Atypical anxiolytic/ nonbarbiturate anxiolytics (buspirone) interactions

A

erythromycin, ketoconazole, St. John’s wort, grapefruit juice can increase the effects of buspirone

19
Q

Atypical anxiolytic/ nonbarbiturate anxiolytics (buspirone)

How long until the med takes therapeutic effect

A

2-6 weeks