Nsg 552 Exam 2- Wilkes University 2023,
Verified Solution
Acute anxiety
First line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines
Withdrawal can be dangerous, even deadly. Stopping abruptly is not advised.
Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders
psychological disorders characterized by distressing, persistent anxiety or maladaptive
behaviors that reduce anxiety
anxiety disorders treatment
-non-activating antidepressants area good place to start. for this disorder
first line treatment anxiety disorders
SSRI- Fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil)
TCAs often effective but with riskier SE
may interfere with psychotherapy in TX of AD
Benzodiazepines- short acting Alprazolam are most abusable
Rapid onset BZD
used for acute panic disorder
BZD with long half- life (20-80 hours)
Diazepam (avoid in elderly)
BEERS criteria
A list of medications that are generally considered inappropriate when given to elderly
people
BEERS criteria
Identifies High Risk Meds to Generate Wide List of Meds That Should be Avoided
The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults",
commonly called the Beers List, are guidelines for healthcare professionals to help
improve the safety of prescribing medications for older adults.
concomitant with pharmacological tx in AD
Psychotherapy
First line for specific phobias like clowns, blood, animals
Psychotherapy
medications not all that helpful for specific phobias
OCD treatment
SSRI and CBT
BZD in treatment of OCD
Xanax, Valium, Klonipin
Trauma and Dissociative Disorders
Consider and treat and comorbid disorders as well
Trauma and Dissociative Disorders first line pharmocology
, Antidepressants
Psychotherapy are treatment of choice
Dissociative disorders
the degree of insight the patient has is crucial to the outcome of psychotherapy
DID- Dissociative identity disorder
may consider multi pronged approach to treatment but strongly linked to childhood
trauma so treating underlying PTSD s/s is often helpful
DID
discourage use of BZD
DID
beta blockers and alpha blockers useful for reducing sympathetic nervous system
activation
Prazosin
alpha 1 blocker helpful for nightmares and flashbacks
anorexia nervosa
An eating disorder characterized by an obstinate and willful refusal to eat, a distorted
body image, and an intense fear of being fat
Meds for anorexia
Prozac
Anafranil
Pariactin
Thorazine
Zyprexa
Used in anorexia nervosA
atypical antipyschotics
binge eating disorder
significant binge-eating episodes, followed by distress, disgust, or guilt, but without the
compensatory purging, fasting, or excessive exercise that marks bulimia nervosa
treatment of binge eating disorder
Antidepressants and other medication, cognitive behavioral and interpersonal therapy.
psychosomatic goal
reduce discomfort, improve depression, improve anxieties or obsessive thoughts
SSRI indications
Major depression, OCD, GAD, panic disorder, social anxiety disorder and premenstrual
dysphoric disorder
SSRI side effects
BAD SSRI
B - Body weight increase;
A - Anxiety/Agitation;
D - Dizziness; Dry mouth
S - Serotonin syndrome;
S - Stimulated CNS;
R - Reproductive/Sexual dysfunction
I - Insomnia;
antidepressants used in eating disorders
SSRIs (high doses), TCAs
Verified Solution
Acute anxiety
First line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines
Withdrawal can be dangerous, even deadly. Stopping abruptly is not advised.
Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders
psychological disorders characterized by distressing, persistent anxiety or maladaptive
behaviors that reduce anxiety
anxiety disorders treatment
-non-activating antidepressants area good place to start. for this disorder
first line treatment anxiety disorders
SSRI- Fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil)
TCAs often effective but with riskier SE
may interfere with psychotherapy in TX of AD
Benzodiazepines- short acting Alprazolam are most abusable
Rapid onset BZD
used for acute panic disorder
BZD with long half- life (20-80 hours)
Diazepam (avoid in elderly)
BEERS criteria
A list of medications that are generally considered inappropriate when given to elderly
people
BEERS criteria
Identifies High Risk Meds to Generate Wide List of Meds That Should be Avoided
The "Beers Criteria for Potentially Inappropriate Medication Use in Older Adults",
commonly called the Beers List, are guidelines for healthcare professionals to help
improve the safety of prescribing medications for older adults.
concomitant with pharmacological tx in AD
Psychotherapy
First line for specific phobias like clowns, blood, animals
Psychotherapy
medications not all that helpful for specific phobias
OCD treatment
SSRI and CBT
BZD in treatment of OCD
Xanax, Valium, Klonipin
Trauma and Dissociative Disorders
Consider and treat and comorbid disorders as well
Trauma and Dissociative Disorders first line pharmocology
, Antidepressants
Psychotherapy are treatment of choice
Dissociative disorders
the degree of insight the patient has is crucial to the outcome of psychotherapy
DID- Dissociative identity disorder
may consider multi pronged approach to treatment but strongly linked to childhood
trauma so treating underlying PTSD s/s is often helpful
DID
discourage use of BZD
DID
beta blockers and alpha blockers useful for reducing sympathetic nervous system
activation
Prazosin
alpha 1 blocker helpful for nightmares and flashbacks
anorexia nervosa
An eating disorder characterized by an obstinate and willful refusal to eat, a distorted
body image, and an intense fear of being fat
Meds for anorexia
Prozac
Anafranil
Pariactin
Thorazine
Zyprexa
Used in anorexia nervosA
atypical antipyschotics
binge eating disorder
significant binge-eating episodes, followed by distress, disgust, or guilt, but without the
compensatory purging, fasting, or excessive exercise that marks bulimia nervosa
treatment of binge eating disorder
Antidepressants and other medication, cognitive behavioral and interpersonal therapy.
psychosomatic goal
reduce discomfort, improve depression, improve anxieties or obsessive thoughts
SSRI indications
Major depression, OCD, GAD, panic disorder, social anxiety disorder and premenstrual
dysphoric disorder
SSRI side effects
BAD SSRI
B - Body weight increase;
A - Anxiety/Agitation;
D - Dizziness; Dry mouth
S - Serotonin syndrome;
S - Stimulated CNS;
R - Reproductive/Sexual dysfunction
I - Insomnia;
antidepressants used in eating disorders
SSRIs (high doses), TCAs
