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Antianxiety Meds

Antianxiety Meds

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Outline
Additional Lessons

Study Tools For Antianxiety Meds

Benzodiazepines (Mnemonic)
140 Must Know Meds (Book)
Diazepam (Valium) (Picmonic)
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Outline

Overview

  1. Anti-anxiety meds (anxiolytics) depress CNS which increases GABA, therefore producing a relaxation effect.  
    1. Most common = Benzodiazepines

Nursing Points

General

  1. Benzodiazepines
    1. Reduce anxiety
    2. Anticonvulsant
    3. Sedative effect

Nursing Considerations

  1. General interventions
    1. Caution:
      1. Elderly
      2. Avoid ETOH – enhances sedative effect
      3. Glaucoma
      4. Increases fall risk
    2. Safety first – sedative effects
    3. Drug-drug Interactions
      1. Notify MD before starting OTC meds
    4. Do NOT abruptly stop
      1. Taper down over weeks
  2. Watch for signs of withdrawal and toxicity
  3. Withdrawal
    1. Irritability
    2. Sleep disturbances
    3. Tremors, usually hand
    4. Nausea, vomiting
    5. Cramping
    6. Restlessness
    7. Seizures

Toxicity

  1. Toxicity
    1. Antidote: Flumazenil (Romazicon) IV
    2. Symptoms:
      1. Confusion and ↓ LOC
      2. Impaired balance and motor function
      3. CNS depression
    3. Possible paradoxical (opposite) reaction:
      1. Hallucinations
      2. Aggression
    4. Can progress to coma, death
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mental health exam

Concepts Covered:

  • Studying
  • Substance Abuse Disorders
  • Depressive Disorders
  • Medication Administration
  • Anxiety Disorders
  • Central Nervous System Disorders – Brain
  • Cognitive Disorders
  • Eating Disorders
  • Personality Disorders
  • Psychotic Disorders
  • Concepts of Mental Health
  • Health & Stress
  • Psychological Emergencies
  • Somatoform Disorders
  • Bipolar Disorders
  • Communication
  • Trauma-Stress Disorders

Study Plan Lessons

Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
Alcohol Withdrawal (Addiction)
Antidepressants
Alprazolam (Xanax) Nursing Considerations
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)
Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)
Antianxiety Meds
Antianxiety Meds
Antidepressants
Antidepressants
Antipsychotics
Antipsychotics
Anxiety
Atypical Antipsychotics
Benzodiazepines
Benzodiazepines Nursing Mnemonic (Donuts and TLC)
Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)
Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)
Buspirone (Buspar) Nursing Considerations
Cognitive Impairment Disorders
Defense Mechanisms
Defense Mechanisms
Dementia Nursing Mnemonic (DEMENTIA)
Depression
Depression Assessment Nursing Mnemonic (SIGNS)
Diazepam (Valium) Nursing Considerations
Dissociative Disorders
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Generalized Anxiety Disorder
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Hypochondriasis (Hypochondriac)
Lithium Lab Values
Lithium (Lithonate) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)
MAO Inhibitors Nursing Mnemonic (TIPS)
MAOIs
Meds for Alzheimers
Mood Disorders (Bipolar)
Mood Stabilizers
Mood Stabilizers
Nurse-Patient Relationship
Paranoid Disorders
Personality Disorders
Phases of Nurse-Client Relationship
Post-Traumatic Stress Disorder (PTSD)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Schizophrenia
Somatoform
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
SSRIs
Suicidal Behavior
TCAs
Therapeutic Communication
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)
Types of Schizophrenia
Anxiety
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder