medication/ nursing diagnosis
ETIOLOGY Theories
SX
panic
Anxiety
100

What medications are available for panic disorder?

Alprazolam (Xanax), Clonazepam (Klonopin), Clonidine (Catapres), Diazepam (Valium), Fluoxetine (Prozac), Imipramine (Tofranil), Propranolol (Inderal), Sertraline (Zoloft).

100

Are Panic Disorders genetic?

No, but are susceptible to or vulnerability is linked to situational traits.

100

What are some symptoms of a Panic attack?


  • Sense of impending doom or danger
  • Fear of loss of control or death
  • Rapid, pounding heart rate
  • Sweating
  • Trembling or shaking.
  • Shortness of breath or tightness in your throat
  • Chills.
  • Hot flashes.
100

What is the difference between a heart attack and a panic attack?

Panic includes: sharp pain to chest, tingling in hands, shaking, racing heart.

Heart attack includes chest pain, nausea, vomiting.

100

What are the physiological symptoms of mild anxiety?

Restlessness

Fidgeting

GI “butterflies.”

Difficulty sleeping

Hypersensitivity to noise

200

Is patient at risk for ineffective coping skills?

The patient is at risk for ineffective skills due to panic attacks.

The patient will learn coping skills to manage the panic disorder.

200

What are Neurochemical Theories 

GABA is a natural antianxiety agent by reducing cell excitability.

200

What is DSM-V?

Have at least 4 or more symptoms--

  • Palpitations, pounding heart, or accelerated heart rate
  • Sweating
  • Trembling or shaking
  • Sensations of shortness of breath or smothering
  • A feeling of choking
  • Chest pain or discomfort
  • Nausea or abdominal distress
  • Feeling dizzy, unsteady, lightheaded, or faint
  • Feelings of unreality (derealization) or being detached from oneself (depersonalization)
  • Fear of losing control or going crazy
  • Fear of dying
  • Numbness or tingling sensations (paresthesias)
  • Chills or hot flushes
200

What is a panic attack?

is overwhelmingly intense anxiety and displays four or more of the following symptoms: palpitations, sweating, tremors, shortness of breath, sense of suffocation, chest pain, nausea, abdominal distress, dizziness, paresthesias, chills, or hot flashes.

200

What are the physiological symptoms of moderate anxiety?

Muscle tension

Diaphoresis

Pounding pulse

Headache

Dry mouth

High voice pitch

A faster rate of speech

GI upset

Frequent urination

300

Is the patient at risk for substance abuse?

The patient is at risk for substance abuse related to panic disorder to keep calm.

The patient will learn that drugs will not take away panic attacks; cognitive therapy will lessen symptoms.

300

What are Intrapsychic/Psychoanalytic Theories?

Defense mechanisms are cognitive distortions that a person uses unconsciously to maintain a sense of being in control of a situation, to lessen discomfort, and to deal with stress. 

300

What is the onset of age panic disorder reveal themselves?

late adolescence and the mid-30s

300

How are panic attack diagnosed?

Recurrent episodes, unexpected panic attacks followed by at least one month of persistent concern or worry about future attacks. 75% of people with panic disorder have spontaneous initial attacks with no environmental trigger.

300

What are the physiological symptoms of severe anxiety?

Severe headache

Nausea, vomiting, and diarrhea

Trembling

Rigid stance

Vertigo

Pale

Tachycardia

Chest pain

400

What is Behavioral Theory?

Behavioral theorists view anxiety as being learned through experiences.

400

What is Interpersonal Theory?

In adults, anxiety arises from the person’s need to conform to the norms and values of his or her cultural group.

400

What are the 10 factors that contribute to panic disorder?

Genetics, OCD, PTSD, Hypoglycemia, Labyrinthitis, Neurotransmitter System Failure, Phobias, Major Stress, Temperament, and Mental State, Drug Withdrawals.

400

What kind of therapy is effective?

Cognitive–behavioral techniques, deep breathing, and relaxation are the most therapeutic therapy.

400

What are the physiological symptoms of a panic attack?

May bolt and run

Or

Immobile and mute

Dilated pupils

Increased blood pressure and pulse

Flight, fight or freeze

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