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Pharmacology Exam 4
Drugs for Anxiety and Sleep
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Zakiya Glenn
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Cards (13)
Sedatives
Promote
relaxation
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Hypnotics
Produce
sleep
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Benzodiazepines
(-pam,
-lam
),
Diazepam
(prototype for insomnia treatment)
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MOA
1. For
short-term
treatment for
acute
anxiety in stressful situations
2. Treatment for
insomnia
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Nursing
Implications for benzodiazepines (Diazepam)?
Monitor respiratory pattern
Antidotes: Flumazenil
The patient should not drink EtOH while taking the med
Withdrawal symptoms may occur if drugs are stopped abruptly
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Non
-benzodiazepine sedative-hypnotics
Eszopiclone
,
Zaleplon
, Zolpidem
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MOA
of non-benzodiazepine sedative-hypnotics
1. Treatment for
insomnia
2. To relieve anxiety or
sleeplessness
without permitting
sensory perception
, responsiveness to the environment, or alertness to drop below safety level
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Nursing
Implications for non-benzodiazepine sedative-hypnotics
Apply
interventions
for fall
prevention
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General
Nursing Implications
Assess risk of
suicide
Monitor
vital signs
and
weight
Inform patient that it may take several
weeks
for the effects
Take as ordered, even if feeling better
Avoid OTC's,
EtOH
, driving if drowsy
Keep away from
CHILDREN
Observe
drug interactions
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Side
and Adverse effects of Benzodiazepines
Hypotension
Respiratory
depression
Confusion
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Side
and Adverse effects of
Non-benzodiazepine sedative-hypnotics
Night walking
Driving
Eating
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What does the adverse effects of Non-benzodiazepine sedative-hypnotics lead to?
Fall risk
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Anxiolytics?
Anti-anxiety