Sedative hypnotic

Question 1

What are the names of the sedative benzodiazepines

Answer 1

“pam”. Alprazolam Diazepam, Lorazepam,Clonazepam,oxazepam

Question 2

how do the sedative hypnotic anxiolytics Benzodiazepines work ?

Answer 2

enhance the inhibitory effects of GABA in the CNS Relief from anxiety occurs rapidly following administration

Question 3

uses

Answer 3

generalized anxiety disorder and panic disorder, seizures ,insomnia,muscle spasm alcohol withdrawl, induction anesthesia , amnesic prior to surgery procedures

Question 4

why is it given

Answer 4

decrease amount of anesthesia needed during surgery

Question 5

its also used in moderate sedation meaning pt is

Answer 5

still arousable like in procedures like endoscopy, colonoscopy,joint dislocation

Question 6

chemical restraint –

Answer 6

document restraint if used to calm the patient down

Question 7

there is a difference in documenting

Answer 7

used as med for anxiety or to calm pt down and use as restraint

Question 8

Complications , side effects related to med:

Answer 8

CNS depression : sedation ataxia , decreased cognitive function

Question 9

what is ataxia

Answer 9

decrease in balance

Question 10

anterograde amnesia

Answer 10

occurs after

Question 11

Risk for Toxicity :

Answer 11

decrease Resp decrease Blood pressure ,

Question 12

for toxicity with these medications give antidote :

Answer 12

Flumazenil

Question 13

Paradoxial response

Answer 13

insominia , excitation,euphoria, anxiety rage

Question 14

Withdrawl effects

Answer 14

opposite effects , anxiety insomnia, diaphoresis , tremors light headedness

Question 15

what should you tell pt who may experience withdrawl effects ?

Answer 15

they are not common because these medications are used for short term so they shouldn’t experience these effects but should notify the provider if they are experienced .

Question 16

to avoid withdrawl benzodiazepines

Answer 16

taper dose over several weeks

Question 17

Benzo diazepines are generally used :

Answer 17

Short term due to risk for dependence

Question 18

use cautiously in patients with

Answer 18

liver disease substance abuse disorder

Question 19

grapefruit juice interaction :

Answer 19

can reduce metabolism and med stays in body longer

Question 20

avoid fatty foods :

Answer 20

they decrease the absorption of the medication

Question 21

This medicaton interacts with other

Answer 21

CNS depressants alcohol barbituates opiods

Question 22

administration :

Answer 22

administer medication at bedtime because of cause of sedation with this medicaton, administer with meals or snacks if GI upset occurs

Question 23

Benzodiazepines are contraindicated in clients who

Answer 23

have sleep apnea, rspiratory depression, or glaucoma

Question 24

these meds are under what control

Answer 24

IV of the controlled substance act