Sedative Hypnotics: Module 3-Section 01 Flashcards
What are sedative hypnotics
CNS Depressants
What are the mechanisms of sedative hypnotics
Inhibitory signals from GABA neurons increase the most sedative hypnotics, resulting in decreased glutamate nerve firing.
What are benzodiazepines
Most widely prescribed drug in the world.
What are benzodiazepines route of administration
Usually taken as a capsule or tablet, but some are available for intravenous or intranasal use
What are benzodiazepines mechanisms of action
Activation of the benzodiazepines receptor increases the frequency of 5r opening of the chloride channel
What are the therapeutic affects of benzodiazepines
Relaxation, calmness, and relief from anxiety or tension.
What is the antidote for benzodiazepines
Flumazenil, a benzodiazepine receptor antagonist that blocks the effects of benzodiazepines
Short term adverse efffecrs of benzodiazepines
Drowsiness, lethargy, fatigue, impairment of thinking and memory.
Respiratory depression
Impair motor coordination
Long term adverse effects of benzodiazepines
Chronic sedative hypnotics intoxication, such as impaired thinking, poor memory and judgement, disorientation, in coordination, amd slurred speech.
Effects of benzodiazepines in pregnant people
Cross the placenta and distribute to the fetus.
Secreted into the milk, exposing nursing infants to therapeutic or toxic doses of the drug.
Effects of benzodiazepines in older adults
Can produce cognitive dysfunction in adults. Metabolized more slowly in older adults often leading to over-sedation.