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Medicatione - Anxiet
AntiAnxiety
| Term | Definition |
|---|---|
| Buspirone (Buspar) | Anxiolytic; no CNS depressant; long term treatment GAD Side effects : SPIN - Sleep problem, insomnia, nightmares, feeling tired) Gi upset, Nausea; dry mouth; head ache; no addictive; void driving |
| Benzodiazepine (common type) | Diazepam - Valium Chlordiazepoxide - Librium Clonazepam - Ativan Aprazolam (Xanax) |
| Benzodiazepine | Depress the CNS; difficulty breathing decrease or control anxiety; One-set 0.5 to 2 hours; rapid action Side effect : BLSC - Blurred vision - lack of coordination - Slurred speech - Confusion |
| SSRI | Selective serotonin re-uptake inhibitors Antidepressant Fluoxetine - Prozac Sertraline - Zoloft Citalopram - Celexa Paroxetine - Paxil |
| SSRI's one -set | Varies 2-4-6 weeks |
| SSRI side effects | SPIN - Sleep problems; insomnia; night mare NAR - Nervousness; agitation; restlessness SD - Sexual dysfunction |
| SSRI patient teaching | May impair judgment, avoid alcohol, other CNS depressant May take in the morning |
| SSRI pre and post-administration | Mood; Suicida tendencies; Appetie |
| SSRI purposes | Treatment of various of depression, OCD, Social Phobias, Bulimia & anorexia nervosa and panic disorder |
| SSRI Action | Selective inhibits re-uptake of serotonin from the neural synapse |
| SNRI Class | Selective serotonin/norepinephrine re-uptake Antidepressant |
| SNRI common | Venlafaxine - Effexor Duloxetine - cymbalta |
| SNRI Side effects | Decreased appetite; Life threatening; Seizures; Suicide dermal side effect |
| SNRI Pre or Post Administration | Mood Mood, skin assessment |
| SNRI patient teaching | Skin reactions |
| SNRI purposes/action | treatment of major depression Inhibits serotonin and norepinephrine re-uptake in the CNS |
| Beta blocker (Anti-hypertension) Atenolol - tenormin | Treat hypertension; myocardial infraction Selectively blocks beta adrenergic receptor site; decreases sympathetic outflow to the periphery |
| Beta Blocker Atenolol - tenormin side effect | DWD + H(headache) GI upset NAR - Nervousness, agitation or restlessness SPIN TRP - Temperature regulation problems; cold hand; feet, mild fever |
| Beta blocker Atenolol - tenormin patient teaching | take same time q/day; BP check; avoid acts requires alertness; Abrupt withdrawal - life threatening; arrhythmias; hypertension; MI |
| Beta blocker Atenolol - tenormin propranolol - inderal pre and post - Administration | BP check; ECG, HR I&O, BP, HR |
| Beta blocker (Anti-hypertension) Metoprolol - Lopressor | Decrease BP/HR; Tx: hypertension, angina pectoris; prevention of MI Action: blocks stimulation of beta 1; adrenergic receptors |
| Beta blocker one-set | varies may peak 1-3 hours has prolong half life |
| Beta blocker Metoprolol - lopressor side effects | CHF; bradycardia; Pulmonary edema; fatigue DWD; constipation; liver enzymes Hypo/hyper glycemic; ED |
| Beta blocker contraindication | Increase hypotension w/ antihypertens, alcohol, nitrates Caution: renal/hepatic, increase sensibility to beta-blocker; pulmonary disease; DM; thyrotoxicosis |
| Alpha Receptor Agonist | Decrease blood pressure; decrease pain Clonidine - Catapres |
| Clonidine - catapres one-set | 0.5 to 2 hours |
| Clonidine - Catapres action | prevent pain signal transmission to the CNS by stimulating alpha-adrenergic receptors in the spinal cord |
| Clonidine - catapres side effects | Orthostatic hypotension; bradycardia; constipation |
| Clonidine - catapres Contraindications | Mild to moderate HTN; severe pain in cancer patient; Opioid withdrawal |
| Clonidine - Catapres patient teaching | Comply with HTN care; low sodium; decrease weight; no smoking;exercise |
| Clonidine - catapres Pre and post Administration | Assess for pain; monitor for fever; I&O and daily weight, assess for edema; check BP; Give last dose at bedtime I&O; BP and pulse; assess pain level; change position slowly; oral hygiene |
| Antihistamines Dopaminergic Agonist | Diphenhydramine - Benadryl Anticholinergic activity; high incidence of drowsiness |
| Diphenhydramine - Benadryl onset | 1-2 hours peak effectiveness |
| Diphenhydramine - Benadryl Side effects | DMSE - Dry mouth, skin, or eyes Restlessness or moodiness (in children) DCD - Drowsiness, confusion and dizziness GI/Gu upset |
| Diphenhydramine - Benadryl Patient Teaching | Report excess drowsiness Do not use alcohol Do not drive Increase fluid intake |
| Diphenhydramine - Benadryl Contraindications | Lower respiratory tract symptoms Prostatic hypertrophy GI obsturction |
| Diphenhydramine - Benadryl Pre and post Administration | Monitor cardiovascular status Monitor upon ambulation |
| Hydroxyzine - Vistaril purpose/use | use for section; relief anxiety; decrease allergic symptoms; associated with release of histamine Antihistamines; sedative |
| Hydroxyzine - Vistaril onset | 1-2 hours peak |
| Carbamate derivative / Transquilizer | Meprobamate - Miltown, Equanil |
| Meprobamate - Miltown, Equanil | to treat anxiety by causing sedation & Altered perception of pain; use short term |
| Meprobamate - Miltown, Equanil onset | 2 hours metabolic half life up to 2+ days |
| Meprobamate - Miltown, Equanil Side effects | DWD +H GI upset, nausea, vomiting, diarrhea NAR - Nervous, Anxious, Restlessness Serious must report immediately: confusion, SOB, numbness/tingling/swelling arms and legs Dependence potential combined with ETOH |
Created by:
youj37
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