Used for sedation, relief of agitation, treatment of depression, sleep induction and skeletal muscle relaxation
What is benzodiapines
100
The patient is becoming increasingly anxious and requests a sleeping medication that will not cause a “hangover.”
What is Zaleplon (Sonata)
100
What affect to REM sleep occurs when barbiturates are stopped?
What is REM sleep is longer and may turn into nightmares
100
List three indications for usage in acute muscle spasm.
What is trauma, inflammation, anxiety and pain
100
Emphasize that medication should be taken
What is only as prescribed
200
What is the associated risk of allergy with this drug class if patient has allergy to aspirin
What is nonbenzodiazepines
200
A nurse correctly states that the actions of zolpidem (Ambien) do not produce which of the following effects that benzodiazepines do?
What is Reduce anxiety
200
By stimulating the liver enzymes the drugs that pass through the liver are
What is metabolized more quickly
200
Which drug is a derivative of GABA?
What is Baclofen
200
What is the most adverse affect of muscle relaxant?
What is CNS depression
300
The nurse should assess a client who is taking lorazepam (Ativan) for the development of which adverse effects?
What is Ataxia
300
Which two drugs are approved for long-term insomnia use?
What is eszopiclone (Lunesta) and zolpidem (Ambien CR)
300
Barbiturates have what kind of therapuetic index
What is low
300
Which drug is not a centrally acting muscle relaxant?
What is Dantrolene
300
List two teaching points for patients who smoke while taking muscle relexants
What is avoid in bed or when lounging
400
32-year-old female client has been taking lorazepam (Ativan) for her anxiety and is brought into the emergency department after taking 30 days’ worth at one time. What antagonist for benzodiazepines may be used in this case?
What is Flumazenil
400
Zolpidem (Ambien)should be taken
What is at bedtime on an empty stomach
400
What dosage consideration must be taken into account for the elderly?
What is Reduced by half when possible
400
The greatest risk for hypotension is ususally within
What is 1 hour of dosing
400
List three nonpharmalogic treatments of sleep disorders
What is Establish sleep pattern, sleep only as much as necessary, monitor temperatures, decrease noises, avoid napping, exercise, tobacco and alcholol in evening, try relaxing with music,
500
Name 3 results of insomnia medications
What is increased ability to sleep, less awakenings and shorter induction time, improved sense of well being, less adverse affects
500
Which kind of meal should be avoided with Zaleplon?
What is very heavy or high-fat meals
500
What is treatment for overdose?
What is Maintain airway, assisted ventilation, fluids and pressor support
500
What indication are barbituates and benzodiazepines used that muscle relaxants are not?
What is Insomnia
500
During assessment nurse should ask about which two specific herbal supplements