Sleep

Question 1

Transient sleep disorder is whee external factors do what? What kind of hypnotic would be consider for how many doses

Answer 1

External factor such as noise,shift work and jet lag
Rapidly eliminated hypnotic should be chosen and only one or two doses should be given- otc ideally

Question 2

Short term: what kind of hypnotic? For how long? What could it cause? So we do what and examples

Answer 2

emotional or medical, hypnotic can bed used but not longer than 3 weeks - could cause dependence so give 1 week at a time! Zolpidem or zopiclone

Question 3

Chronic normally has a cause such as which should be…

Answer 3

normally has a cause such as anxiety,depression and alcohol/drug abuse.Underlying psychiatric complaint should be addressed and treated

Question 4

Bndz:
Which ones are long acting? it has a what kind of hangover effect? And is used for what kind of maintenance?

Answer 4

Long acting: nitrazepam, diazepam, flurazepam
Higher hangover effect on the following day
Used for sleep maintenance

Question 5

Short bdz what kind of hangover effect does it have? What is it used for? High chance of what when stopping their use

Answer 5

loprazolam,lormetazepam,temazepam
Little/no hang over effect
Used for sleep onset
Higher chance of withdrawal symptoms

Question 6

A-hypnoticsexamples, DW, what do they increase? Which increases what kind of depression
How should they be taken ….
Dependence occurs within how many days?
How many weeks max should they be used for?

Answer 6

Zopiclone/zolpidem
Increase GABA-CNS DEPRESSION
Dependency occurs within 3-14 days of use
Should be taken intermittently
Should be used for 4 weeks max

Question 7

Benzodiazepines + z drugs -should be avoided in who? Due to a higher risk of what? What kind of side effects do they have and what can they cause

Answer 7

avoid in elderly due to high risk of fall and injury
Paradoxical side effects
Drowsiness
Dependence