BIO 1321 ATI chapter 6 drugs
Anxiety and Trauma- and stressor related disorders: anxiety disorders included generalized anxiety disorder, panic
disorder, OCD, social anxiety disorder, and post traumatic stress disorder. Persistent anxiety can become disabling
and can require intervention with therapy, biofeedback, relaxation techniques, and the use of medications.
Manifestations: fear, apprehension. Physical manifestations: palpitations, tachycardia, and shortness of breath.
Nursing Evaluation of Medication Effectiveness: depending on the therapeutic intent,
effectiveness is evidenced by:
- verbalized feeling less anxious and more relaxed
- description of improved mood
- improved memory retrieval
- maintaining regular sleep pattern
- greater ability to participate In social and occupational interactions
- improved ability to cope with manifestations and identified stressors.
Sedative Hypnotic Benzodiazepams enhance the inhibitory effects of
GABA, gamma amino butyric acid in the CNS. Relief
Anxiolytics: from anxiety occurs rapidly following administration
BENZODIAZEPINES: Alprazolam
- diazepam
- lorazepam
- Chlordiazepoxide
- Clorazepate
-Oxazepam
-Clonazepam
Therapeutic Uses: Generalized anxiety disorder and panic disorder.
Other uses: trauma, PTSD, seizure disordesr, insomnia,
muscle spasm. Alcohol withdrawl, induction of
anesthesia, amnesic prior to surgery.
Contraindications/Precautions • Benzodiazepines are mostly pregnancy risk
category D medications, with some being
category X. both categories are avoided in
clients who are pregnant or
breastfeeding*
• Benzodiazepines are classified under
Schedule IV of the controlled substance
act.
• Contraindicated in clients who have sleep
apnea, respiratory depression, or glaucoma.
• Use cautiously in older adult clients, and
those who have liver disease or a history of
mental illness or a substance abuse
disorder.
• Generally used short term due to the risk of
dependence.
This study source was downloaded by 100000815611969 from CourseHero.com on 11-20-2022 23:42:17 GMT -06:00
https://www.coursehero.com/file/24334060/ATI-chapter-6-drugs-docx/
, BIO 1321 ATI chapter 6 drugs
Interactions CNS depressants (alcohol, barbiturates, opioids) can
result in respiratory depression. Anti-convulsants and
antihistamine can cause increased CNS depression
Client Education:
- avoid alcohol, and other substances that cause
CNS depression.
- avoid activities that require alertness.
This study source was downloaded by 100000815611969 from CourseHero.com on 11-20-2022 23:42:17 GMT -06:00
https://www.coursehero.com/file/24334060/ATI-chapter-6-drugs-docx/
Anxiety and Trauma- and stressor related disorders: anxiety disorders included generalized anxiety disorder, panic
disorder, OCD, social anxiety disorder, and post traumatic stress disorder. Persistent anxiety can become disabling
and can require intervention with therapy, biofeedback, relaxation techniques, and the use of medications.
Manifestations: fear, apprehension. Physical manifestations: palpitations, tachycardia, and shortness of breath.
Nursing Evaluation of Medication Effectiveness: depending on the therapeutic intent,
effectiveness is evidenced by:
- verbalized feeling less anxious and more relaxed
- description of improved mood
- improved memory retrieval
- maintaining regular sleep pattern
- greater ability to participate In social and occupational interactions
- improved ability to cope with manifestations and identified stressors.
Sedative Hypnotic Benzodiazepams enhance the inhibitory effects of
GABA, gamma amino butyric acid in the CNS. Relief
Anxiolytics: from anxiety occurs rapidly following administration
BENZODIAZEPINES: Alprazolam
- diazepam
- lorazepam
- Chlordiazepoxide
- Clorazepate
-Oxazepam
-Clonazepam
Therapeutic Uses: Generalized anxiety disorder and panic disorder.
Other uses: trauma, PTSD, seizure disordesr, insomnia,
muscle spasm. Alcohol withdrawl, induction of
anesthesia, amnesic prior to surgery.
Contraindications/Precautions • Benzodiazepines are mostly pregnancy risk
category D medications, with some being
category X. both categories are avoided in
clients who are pregnant or
breastfeeding*
• Benzodiazepines are classified under
Schedule IV of the controlled substance
act.
• Contraindicated in clients who have sleep
apnea, respiratory depression, or glaucoma.
• Use cautiously in older adult clients, and
those who have liver disease or a history of
mental illness or a substance abuse
disorder.
• Generally used short term due to the risk of
dependence.
This study source was downloaded by 100000815611969 from CourseHero.com on 11-20-2022 23:42:17 GMT -06:00
https://www.coursehero.com/file/24334060/ATI-chapter-6-drugs-docx/
, BIO 1321 ATI chapter 6 drugs
Interactions CNS depressants (alcohol, barbiturates, opioids) can
result in respiratory depression. Anti-convulsants and
antihistamine can cause increased CNS depression
Client Education:
- avoid alcohol, and other substances that cause
CNS depression.
- avoid activities that require alertness.
This study source was downloaded by 100000815611969 from CourseHero.com on 11-20-2022 23:42:17 GMT -06:00
https://www.coursehero.com/file/24334060/ATI-chapter-6-drugs-docx/
