Week 13: CNS- Anxiolytic (Anti Anxiety) Flashcards
Anxiolytics
Alprazolam
what acting?
used for?
Most commonly used anxiolytic
Short-acting
General anxiety disorder
Panic disorder
Anxiety associated w/ depression
Anxiolytics
Lorazepam
Intermediate-acting
Indicated for GAD
Usually, PRN order
Dilute w/ NS or D5W in 1:1 concentration for IM and IV
Anxiolytics
Buspirone
must be?
Doesn’t have?
Must be schedule ATC not PRN
Doesn’t have the sedative or dependency properties like
benzos
lorazepam
treatment of?
dose and route?
Alcohol withdrawal
Low dose for mild symptoms
PO preferred
Treatment of alcohol withdrawal?
Vitamins (hydration and electrolytes)
Thiamine
Multivitamin
Folate
Magnesium sulfate
Normal Saline
Disulfiram
Treats?
What happens if patient is on med and drinks alcohol?
Treats alcoholism; “last resort”
vomiting, diaphoresis, blurred vision, etc. if on this med & drinks alcohol
Antiepileptic Drugs
Adverse Effects:
Neuro?
Mouth?
Dizziness
Lethargy
ATAXIA: imbalance and coordination (think about fall safety)
GINGIVAL HYPERPLASIA with hydantoins
(gum overgrowth)
Hydantoins: Phenytoin
used for?
Adverse effects of long-term use?
If dose is missed for 2 days what happens?
1st line drug for seizure for many years
Gingival hyperplasia!!!!!
If doses are missed for 2 days, have client consult HCP
Abrupt withdrawal may lead to status
epilepticus
Phenytoin IV administration
Use large vein
Do not exceed 50 mg/min in adults
Dilute only in NS
Use 0.22 micro filter
Saline flush after each dose
Drug Profile- Iminostilbenes
Carbamazepine
Contraindication?
May increase risk of?
avoid taking with?
Normal range?
Monitor for
Bone marrow depression
may increase risk of suicidal thoughts or behavior in call clients
Avoid taking w/ grapefruit, related citrus fruits, and pomegranate juice
4 to 12 mcg/mL
Monitor for suicidal thoughts and CBC
Status Epilepticus 1st line treatment?
diazepam- Immediate onset
