Anxiety

Question 1

Non-pharmacological tx of anxiety

Answer 1

Counselling
Exercise
Pet therapy
Music therapy
Journaling
Spiritual practices
aroma therapy

Question 2

CNS depressant types

Answer 2

Benzodiazepines
Barbiturates
Zopiclone
Buspirone

Question 3

CNS depressants effects

Answer 3

Anxiolytic
Sedative
Hypnotic

Question 4

Benzodiazepines

Answer 4

for generalized anxiety disorder and short term insomnia therapy

Binds GABA receptor which causes its Cl-channel to open, decreasing excitability of post-synaptic neurons in limbic system - calming effect

Question 5

Benzodiapines - Adverse effect

Answer 5

Drowsiness
sedation
disorientation
ataxia
blurred vision
reduced REM sleep stages

Question 6

Benzodiapines are agonized by

Answer 6

flumanzenil

Question 7

Benzodiazepine example

Answer 7

Lorazepam

Question 8

Barbiturates

Answer 8

Used less commonly
Anti-seizure, IV anesthetic

Mechanism of action same as benzodiazepines

Question 9

Barbiturates - Risks

Answer 9

High rate of dependency
Withdrawal is severe
Risk of seizure when taken off

Question 10

Barbiturates - Adverse effects

Answer 10

Resp depression

paradoxical excitement

Question 11

Cross-tolerance

Answer 11

tolerance to barbiturates can promote tolerance to opioids and other CNS depressants

Question 12

Zopiclone

Answer 12

Non-benzodiazepine CNS depressant

Sedative - hypnotic
Short term treatment of insomnia

Binds GABA-A receptors, causing channels to open, leading to decreased excitability of post-synaptic neurons

Question 13

Zopiclone example

Answer 13

Imovane

Question 14

Zopiclone adverse effects

Answer 14

Gi - N/V, diarrhea
Sleep - daytime drowsiness, sleep eating, sleep walking
Confusion, amnesia
Ataxia
Blurred vision

Question 15

What is the danger of administering a medication such as Imovane to an elderly person?

Answer 15

Increased susceptibility to major side effects