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HP II > Anxiety > Flashcards

Flashcards in Anxiety Deck (40):
1

Compensation

Making up for a weakness in one area by gaining strength in another

2

Denial

Refusing to acknowledge that an event has occurred

3

Anxiety

Fight or flight
(Sympathetic nervous system)

4

Alarm Reaction Stage

Prepare for defense
↑ HR

5

Resistance Stage

↓ blood in organs
Needed for defense

6

Exhaustion Stage

Stores depleted

7

Stress response

Epinephrine (adrenaline)
↑ HR, BP, RR, muscle tension

8

HPA axis Stimulation

Corticotropin-releasing hormone
↑ cortisol

9

Normal Anxiety

Motivating force that provides energy to carry out life tasks
↑ focus

10

Acute / State Anxiety

Imminent loss
Threatens sense of security

11

Chronic / Trait Anxiety

Pathological disorders
Persists over time

12

Mild Anxiety

↑ perception, problem solving
Restlessness, irritability, fidgeting, ↓ sleeping, tension relieving behavior

13

Moderate Anxiety

↓ productivity (inattention)
↑ HR, R, perspiration, muscle tension, speech, GI upset
Difficulty understanding

14

Severe Anxiety

↓ perception, attention
Dread, confusion
↑ HR, RR
N/V/D
No learning / problem solving

15

Panic

Dissociated (hallucinations / delusions)
Non-goal directed behavior
Can’t communicate

16

Interventions for Mild to Moderate Anxiety

Remain calm
Listen
Therapeutic communication

17

What not to do with Mild to Moderate Anxiety

Introduce irrelevant topics
Distractions
Ask why

18

Interventions for Severe / Panic Anxiety

Calm
Assess safety / needs
↓ stimuli
Short sentences
Medicate (last resort)

19

Medications Used as a Last Resort

Benzos
Short term

20

What not to do in Severe / Panic Anxiety

Engage in teaching

21

Most Common Anxiety Disorder

Panic Disorder

22

Comorbidities

Other psych disorders
Substance use
Medical Conditions

23

Three Mediators of Anxiety in CNS

Norepinephrine (↑ panic, GAD, PTSD)
GABA (↓)
Serotonin

24

Panic Attack

Sudden onset of extreme apprehension / fear of doom

25

Agoraphobia

Fear of being in places from which escape is difficult
Fear leaving home

26

Panic Attack Brain Fx

↓ frontal lobe activity
↑ thalamus (sensory overload)

27

Panic Disorder Tx

CBT
Deep breathing
Relaxation
AntiHTN

28

CBT Examples

Positive Framing
Decastrophizing
Assertive language

29

Beta blockers

-olol
Relieve physical symptoms of anxiety (stage fright)
Test before implementing

30

Phobia

Persistent, irrational fear of specific objects / activities / situations
Leads to avoidance

31

Specific Phobias

Response to objects
Use benzos

32

Social Phobia

Fear of exposure to social situations or performance (generalized)

33

Phobia Tx

Behavioral therapy
Meds

34

CBT for Phobias

Positive reframing
Assertive language
Systematic desensitization
Flooding

35

GAD

Excessive worry / anxiety for 6 mos+

36

Symptoms of GAD

Restlessness
Fatigue
↓ concentration
Irritability
Tension
↓ sleep

37

Anxiety Caused By Medical Conditions

Hyperthyroidism
Pulmonary embolism
Cardiac dysthymias

38

Buspar

Not a classification
Works best before benzos are tried
Less sedation
No physical dependence
Effective after 3+ weeks

39

Buspar Adverse Fx

Dizziness
Nausea
Headache
Nervousness
Lightheadedness
Excitement

40

Self Awareness Issues

Need to understand how /why
Nursing vulnerability
Avoid firing the problem
Manage stress