Term
| antianxiety drugs definition and action |
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Definition
benzodiazepines: exert tranquilizing effect by potentiating the gaba effects
nonbenzos:exert action in various ways (i.e busiprone acts on brains serotonin receptors) |
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Term
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Definition
physical or psychological dependence
and tolerance--requires larger doses to obtain desired effect
withdrawal symptoms have occured as soon as 4-6 weeks of discontinuing the benzos |
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Term
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Definition
anxiety disorders and panic attacks
preanesthetic sedation
muscle relaxants
convulsions/siezures
alcohol withdrawal |
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Term
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Definition
| nvdc, dizziness, drowsiness, headache, lethargy, disorientation, anger, restlessness, dry mouth, visual disturbances |
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Term
nursing alert
symptoms of benzodiazipine withdrawal |
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Definition
increased anxiety, concentration difficulties, tremors, sensory disturbances (parathesias, photophobia, hypersomnia, metallic taste)
*these sypmtoms usually occur after 3 or more months of use with abrubt dc--must be tapered |
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Term
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Definition
| known hypersensitivity, psychosis, acute narrow glaucoma, preg d category and labor due to reports of floppy infant syndrome (sucking difficulties, lethargy, hypotonia), lactating women should aviod due to infancy lethargy and weakness |
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Term
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Definition
alcohol and analgesics--increased cns depression
tricylic antidepressants and antipsychotics--increased sedation and respiratory depression
increased dig toxicity |
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Term
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Definition
herbal remedy for stress, anxiety, tension:: promotes sleep, menstral discomfort alleviation
take occasionally for anxiety episode due to kava containing products associated with liver related injuries
if show s/s of liver disease contact pcp |
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Term
| assessments pre and ongoing |
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Definition
get complete medical and psych history from pt or family, especially alcohol or drug use as coping mechanisms
if systolic bp drops below 20 mm hg-withhold drug and contact doctor
monitor mental status and anxiety level |
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Term
nursing diagnosis
risk for injury |
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Definition
related to dizziness or hypotension or gait problems
educate about side effects that can cause falls or injuries
when given im observe for 3 hours, keeping pt laying down for at least 30 min
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Term
lifespan alert
gerontology |
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Definition
benzo are excreted slowly in older adults, causing a prolonged effect-may accumulate in the blood cause increase in adverse reactions or toxicity--small initial dose, with gradual increase to therapeutic effect
parenteral admin to older, debillitated or with limited pulmonary reserve requires extreme care as pt may experience apnea or cardiac arrest |
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Term
nursing diagnosis
impaired comfort |
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Definition
due to dryness in gi tract from meds
offer frequent sips of water and sugarless gum or candy
can be given with food to reduce gi upset
meals should include fiber to prevent constipation |
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Term
nursing diagnosis
ineffective individual coping
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Definition
related to situation causing anxiety
observe for therapeutic response, asking open ended questions, helping to identifty causes |
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Term
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Definition
| take exactly as directed, do not dc use without pcp instructions, do not take any otc drugs unless instructed, inform dentists of use, do not drink alcohol, if dizziness occurs when changing positions-rise slowly, report any unusual changes or physical effects |
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