click below
click below
Normal Size Small Size show me how
benzodiazepines
pharm
benzodiazepines | anti anxiety - habit forming |
---|---|
benzodiazepines - used for anxiety | panic attacks, preanesthetic sedation and muscle relaxation, convulsions/seizures, alcohol withdrawl |
benzodiazepines examples | ativan, xanax, valium, librium, klonopin |
benzodiazepines adverse rx | mild lethargy, tolerence with long term use, disorientation, restlessness, anger, constipation, diarrhea, dry mouth, nausea, visual distrubances |
benzodiazepines antidote | Flumazenil given IV and works within 6 - 10 min |
benzodiazepines interactions | teach pt to avoid alcohol. can stop your breathing. never discontinue abruptly. |
Benzodiazipines withdrawl symptoms | increased anxiety, concentration difficulties, tremors, sensory disturbances such as parathesia, photophobia, hypersomnia, metallic taste. |
Benzodiazepines preg D | causes Floppy infant syndrome |
Benzodiazepines nursing process antianxiety meds | check B/P, monitor profound drowsiness, check resp, IM injections, oral with food, decrease dose on elderly |
Benzodiazepines Pt education | dont drive till you know how it effects you, no alcohol, sip H2O, dry mouth, increase fluids, exercise, fiber for constipation. |
Extrapyramidal Effects (EPS) most significant adv rx associated with antipsychotic drugs | EPS affects nervous system causing Parkinson like symptoms Akathisia - extreme restlessnes and increase motor activity Dystonia - abnormal muscle movement of various muscle groups |
Lithium manic drug. not a true antipsychotic drug | toxic when serum lithium level greater than 1.5 MEq/L. dosage must be adjusted. call doc. take with food |
S/S toxicity | N/V/D, arrhythmia, seizures, coma |
Tardive Dyskinesia TD | potentially irreversible, rhythmic involuntary movements of tongue, face, mouth, jaw, or extremities. |
Neuroleptic Malignant syndrome NMS | rare reaction. combination of EPS, hyperthermia, and autonomic disturbance, NMS fatal immediate discontinuation of med |
Antipsychotic drugs | also called neuroleptic drugs used to treat psychiatic disorders |
Symptoms of psychosis | Hallucinations- false sensations or perceptions having no basis in reality. Delusions- false beliefs thats not true. flattened affect-absense from emotions anhendonia- no pleasure in anything |
Antipsychotic drugs -to much dopamine | uses-mngmnt of acute and chronic psychoses schizophrenia, bipolar(manic depressive)illness. agitated behaviors associated with dementia. |
Typical antipsychotics- inhibiting or blocking release of nruotransmitters dopamine | Thorazine, use for hiccup Haldol Compazine, N/V Navane Orap, touretts syndrome |
Atypical antipsychotic- act on serotonin receptors and dopamine receptors. do not cause as much side effects | Abilify Clozaril Zyprexia Invega Resperdal |
Typical and Atypical Adv RX | sedation, hypotension, dry mouth, nasal congestion, urticaria, photophobia, behavoral changes, H.A. |