NURS 663 - Psychiatric Mental Health Diagnosis and Management II
Exam 3
Question:
Benzodiazepines (class)
Answer:
- also called the "Z' drugs. Their clinical effects results from interactions with
GABA-receptor complexes at binding domains located close to or coupled to benzodiazepine receptors.
Question:
Benzodiazepines are FDA approved to tx what dxs?
Answer:
· Generalized anxiety disorder (GAD) · Social phobia · Panic disorder · Insomnia · Status epilepticus/seizures 1 / 4
· Premedication for anesthetic procedures
Question:
Benzodiazepines NON-FDA APPROVED USES
Answer:
· Agitation · Alcohol withdrawal symptoms · Muscle spasms · Sedation · Restless legs syndrome · Sleepwalking disorder
Question:
Benzodiazepines MOA
Answer:
enhance the effect of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABAA receptor, resulting in sedative, hypnotic (sleep- inducing), anxiolytic (anti-anxiety), anticonvulsant, and muscle relaxant properties
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Question:
Benzodiazepines indication of use
Answer:
Can be used for insomnia, anxiety disorder, panic disorder, social phobia, mixed anxiety-depressive disorder, bipolar I disorder, akathisia, Parkinson's disease, and overdose.
Question:
Benzodiazepines side effects
Answer:
- Anterograde amnesia
- Confusion
- Dizziness
- Depression
- Sedation
Question:
Benzodiazepines Patient teaching
Answer:
Avoid alcohol, avoid driving
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Question:
Buspirone (Buspar) MOA
Answer:
Binds to serotonin type 1A receptors. Partial agonist actions postsynaptically may theorectically diminish serotonergic activity and contribute to anxiolytic actions. Partial agonist actions of presynaptic somatodendritic serotonin autoreceptors may theorectically serotonergic activity and contribute to antidepressant actions.
Question:
Buspirone (Buspar) use
Answer:
anxiety, Management of anxiety disorders Short-term treatment of symptoms of anxiety Mixed anxiety and depression Treatment-resistant depression (adjunctive)
Generally takes within 2-4 weeks to achieve efficacy
Question:
Buspirone (Buspar) side effects
Answer:
Dizziness, headaches, nervousness, sedation, excitement, nausea, restlessness.
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