The normal BP range for adults. This woman is within that healthy range?
What is - 115/75 to 139/89
What is NO
100
Barbituates are a type of drug that may rob patients of this type of sleep.
What is REM sleep?
100
Analgesic that causes constipation.
What is an opioid?
100
Sustained disruption in amount and quality of sleep that impairs functioning.
What is insomnia?
100
These types of drugs should not be taken with Seconal (hypnotic barbituate) because they may cause serious slowed breathing.
What are anxiety medications, muscle relaxants, narcotic pain relievers, or psychiatric medications.
200
What would be a good question to ask this patient when taking their history?
What is - Allergies? Current medications? Herbal medications? Recent stresses possibly related to insomnia?
200
A nurse must always strive to achieve this level of drug administration in which the desired effect of the drug is reached.
What is a therapeutic level?
200
These patches should only be used in patients who are considered opioid tolerant.
What is fentanyl transdermal patches?
200
A gender-related hormonal shift that often causes insomnia in women over the age of 40.
What is menopause?
200
The number one effect from other drugs that can cause fatality when combined with barbituate hypnotics.
What is drowsiness.
300
What is this woman at risk for related to drinking alcohol at night if she takes Seconal as well?
What is She is at risk for falls (excessive clumsiness) in the daytime related to extreme drowsiness from the Secona and alcohol combination.
300
Like all other drugs, barbiturates can be especially harmful to the patient when given in large amounts to these two special populations.
What are the pediatric and elderly populations?
300
The extent of this is most visible when an opioid drug is discontinued abruptly or when an opioid antagonist is administered.
What is physical dependence on opioids?
300
A common lifestyle factor related to insomnia mentioned in the case study.
What is having a glass of wine before bed?
300
The use of this drug affects liver enzymes that remove Sonata (hypnotic) from the body.
What is Melatonin
400
What is this woman at risk for when looking at her total time of using sleeping aids?
What is -She is at risk for becoming dependent on the drug if used for long periods of time and could experience symptoms of withdrawal. She is also at risk for intolerance due to the high volume of sleep aids that she has tried.
400
A knowledgeable nurse must always consider the fact that all barbiturates have this same sleepy/euphoric effect.
What is the sedative-hypnotic effect?
400
The age group affected more adversely by anesthesia than others.
Who are the elderly?
400
A phase of sleep disrupted by alcohol consumption making sleep less restful.
What is REM sleep?
400
The use of alcohol while taking this drug can cause slowed breathing, inability to wake up, and possibly death.
What is Seconal (barbituate hypnotic).
500
What is the difference between Seconal and Sonata? Why did the doctor choose to prescribe Sonata?
What is - Seconal is a barbiturate which is a CNS depressant causing mild sedation. Sonata is a hypnotic that focuses more on relaxation versus the depression of the CNS. The doctor chose the hypnotic because of the alcohol that she could consume in combination with the sleep aid and thus depress her CNS to unsafe levels.
500
Given the information that a patient intakes alcohol on a regular basis, the nurse must immediately consider the fact that alcohol has this type of effect when taken with barbiturates.
What is CNS depression?
500
An overdose of this produces CNS depression ranging from sleep to profound coma and death.
What are barbituates?
500
Identify causative/contributing factors.
What is nursing priority #1 for a diagnosis of insomnia?
500
The use of these with a barbituate will prolong the effects of the barbituate.