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ATI
Sleep
| Question | Answer |
|---|---|
| What are two types of drugs used for sleep disorders | Benzodiazepines and non-benzodiazepines |
| What are hypnotics | Any drug that helps patients sleep |
| What do Benzodiazepines drugs do | Relieve insomnia, decrease wakening at night, relieve anxiety, relax muscle spams, help with moderate sedation |
| What do Non-Benzodiazepines do | help with the short term treatment of insomnia |
| What do drugs in the Benzodiazpines usually end with | "pam" Ex. temazepam, diazepam, lorazpam, Flurazpam |
| What enhances the inhibitor effects of GABA | Benzodiazepines |
| What are side effects of Benzodiazpines | Drowsiness, dizziness, confusion, anxiety, tolerance over weeks, withdraw. Monitor older adults for paradoxical reaction |
| What is a paradoxical reaction | One that makes adverse reactions to the drug |
| What are interventions for Benzodiazpines | Oversee nighttime ambulation especially for older adults, watch for signs of toxicity (weakness, slurred speech, ataxia, uncoordinated muscle movements |
| When do patients take Benzodiazpines as a hypnotic | 30 mins before bedtime and orally and make sure that they get 8 hours of sleep |
| What are contradictions of benzodiazpines | pregnancy, glaucoma, children under 18 |
| What are precautions of benzodiazpines | renal or hepatic impairment, suicidal, alcohol dependent, neuromuscular disorders, chronic respiratory disorders, sleep apnea |
| When should you not give a patient benzodiazpines | taking current CNS depressants, should not intake kava kava or valerian. Cimeidine and smoking |
| What is the prototype drug for Non-benzodiazpines | Zolpidem (ambien) |
| What do Non-benzodiazpines do | enhance the inhibitory effects of GABA |
| What are side affects of Non- Benozdiazpines | Daytime drowsiness, headache, anxiety, dizziness, dipolipa, confusion of older adults. Amnesia( ambulation, eating, driving) |
| What are interventions of Non- benozdiazpines | monitor patients for adverse affects, take precautions to prevent falls, monitor for decrease in dose in amnesia occurs |
| What is the administration of non- benozdiapines | oral is immediate or extended release, spray allows direct absorption through nasal mucous, just before bedtime and ensure 8 hours of sleep, empty stomach for full affect |
| What are contraindications of non-benozdiapines | children under 18, suicidal, labor and delivery |
| What are precautions of non-benozdiapines | older adults, prone to substance abuse, history of depression, chronic respiratory disorders, sleep apnea, Hepatic or renal dysfunction |
Created by:
spilkington11
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