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Anxiety Pharmaceutical Care Flashcards

(17 cards)

1
Q

What is General Anxiety Disorder (GAD)?

A

Disproportionate, persuasive, uncontrollable + widespread worry

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2
Q

What are other anxiety disorders?

A

Acute stress disorder
OCD
Panic disorder
PTSD
Social phobia
Specific phobias

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3
Q

What are complications if untreated?

A

QoL
Social + occupational functioning
Comorbidities
Suicidal ideation + attempts

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4
Q

What are the risk factors?

A

Family situations/duties
Lack of support
Problems with housing/finance
Medical conditions

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5
Q

How is it diagnosed?

A

International diagnostic criteria
Physical physiological + psychological symptoms
Risk factors
GAD-7

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6
Q

What is the 1st step after GAD is confirmed?

A

Assess severity
Ask about comorbid factors
Consider mental health history
Educate about GAD + treatment options
Active monitoring

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7
Q

What is the 2nd step after GAD is confirmed?

A

Low intensity psychological intervention: CBT
= individual guided self-help
= psychoeducational groups

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8
Q

What is the 3rd step after GAD is confirmed?

A

1st line SSRI - eg. Sertraline
Discuss adverse effects + withdrawal
Review every 2-4 weeks for 1st 3 months THEN every 3 months

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9
Q

What is the 4th step after GAD is confirmed?

A

Refer for specialist treatment

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10
Q

What is the most commonly prescribed SSRI?

A

Sertraline

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11
Q

Why is sertraline preferred?

A

Minimal drug interactions
Lack of ECG changes
Low risk of discontinuation symptoms

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12
Q

What are the adverse effects of SSRIs?

A

GI
CNS
Sexual dysfunction
Increased risk of bleeding
Increased risk of fractures
Hyponatraemia
Increased risk of suicide

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13
Q

What happens if the patient gets sexual dysfunction?

A

CHANGE medication

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14
Q

What are the SNRI licensed for GAD?

A

Duloxetine + Venlafaxine

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15
Q

When are SNRI contraindicated?

A

Patients with cardiac disorders + liver + renal impairment

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16
Q

What are the adverse effects of SNRI?

A

Nausea, dizziness, dry mouth, constipation
Drowsiness, hypertension, sexual dysfunction, increased risk if bleeding, increased risk of suicide