Other Anxiolytic and Hypnotic Drugs

Question 1

Paraldehyde (Paral):

Answer 1

Sedation for pt. with delirium tremens or psychiatric conditions characterized by extreme excitement

Question 2

Meprobamate (Miltown):

Answer 2

manages acute anxiety for up to 4 months

Monitor addictive pt.’s, Gradual withdrawal

Question 3

Chloral hydrate (Aquachloral):

Answer 3

produces nocturnal sedation or preoperative sedation

Question 4

Glutethimide (generic), zaleplon (Sonata), and zolpidem (Ambien):

Answer 4

short-term treatment of insomnia.

Caution: Elder and L/K failure

Question 5

Antihistamines (promethazine [Phenergan], diphenhydramine [Benadryl]:

Answer 5

preoperative medications, and postoperatively to decrease the need for narcotics. Allergy, Motion sickness. AE’s Drying, dry mouth, thick secretions, monitor respirations. Monitor injection sites.

Question 6

Buspirone (BuSpar):

Answer 6

reduces anxiety without severe CNS and adverse effects. Offlabel use for Premenstrual Syndrome
AE’s: HA, Dry mouth.
Caution: Elder and L/K failure