Drugs for Anxiety and Sleep

Cards (13)

  • Sedatives
    Promote relaxation
  • Hypnotics
    Produce sleep
  • Benzodiazepines
    (-pam, -lam), Diazepam (prototype for insomnia treatment)
  • MOA
    1. For short-term treatment for acute anxiety in stressful situations
    2. Treatment for insomnia
  • 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
  • Non-benzodiazepine sedative-hypnotics

    Eszopiclone, Zaleplon, Zolpidem
  • 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
  • Nursing Implications for non-benzodiazepine sedative-hypnotics

    • Apply interventions for fall prevention
  • 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
  • Side and Adverse effects of Benzodiazepines

    • Hypotension
    • Respiratory depression
    • Confusion
  • Side and Adverse effects of Non-benzodiazepine sedative-hypnotics
    • Night walking
    • Driving
    • Eating
  • What does the adverse effects of Non-benzodiazepine sedative-hypnotics lead to?
    Fall risk
  • Anxiolytics?
    Anti-anxiety