Exam 2 Updated
barbiturates
a class of drugs formed from barbituric acid that induce a general depression over all CNS functions and induce sedation.
barbiturates
a class of drugs formed from barbituric acid that induces sedation and general depression over all CNS functions.
benzodiazepines
a class of drugs that depress the CNS by binding to GABA receptors resulting in hypnotic and sedating effects; they are used mainly to control symptoms of anxiety or stress
benzodiazepines
a class of drugs that depress the CNS by binding to gamma aminobutyric acid receptors, resulting in hypnotic and sedating effects. They are used mainly to control symptoms of anxiety or stress.
benzodiazepine receptor agonists
a class of non-benzodiazepine sedative-hypnotics that interact with the same receptor site that benzodiazepine drugs do, turning on the receptors to induce sleep.
benzodiazepine receptor agonists
a class of nonbenzodiazeine sedative-hypnotics that interacts with the same receptor site that benzodiazepine drugs Dom turning on the receptors to induce sleep
the breastfed infant could be sedated by the medication
A mother who is breastfeeding an infant requests information on drugs to treat insomnia. Which information is most appropriate to provide?
respiratory depression
A patient has had an overdose of a benzodiazepine. In addition to treatment with the reversal agent, the patient will need continued monitoring for which adverse effect?
romazicon (Flumazenil); intravenously
A patient has taken an overdose of a benzodiazepine. What is the reversal agent? ___________ How is it administered?_______________.
have another person stay with you the first time you take this
A patient is taking a benzodiazepine receptor agonist for the first time at home. Which is the most appropriate instruction to give?
this may cause a transient memory loss
A patient requests information about taking zolpidem during an overnight airplane flight that lasts 5-6 hours. What information should the nurse provide?
sleepwalking; sleep driving
A patient taking eszopiclone should be warned that serious adverse effects of this drug are _______ and _________.
daytime drowsiness, blurred vision, confusion
A patient will be taking flurazepam 30mg this evening. The patient should be monitored for which common side effects?
higher
A patient with reduced liver function who is taking a drug to treat insomnia may have a _____ drug level.
sleepwalking
A very concerning side effect of the benzodiazepine receptor agonists is :
drowsiness; mild sedation
Antihistamines produce _________ and __________.
they are habit-forming
Benzodiazepines are prescribed for short-term treatment for which reason?
GABA receptors
Benzodiazepines depress the CNS by binding to ___________.
high
Benzodiazepines have a _______ likelihood of causing birth defects.
GABA
Benzodiazepines work by affecting:
liver; kidney
Drugs for insomnia are metabolized by the _________ and excreted by the ___________.
epilepsy
In addition to treatment for insomnia, barbiturates are used in management of which condition?
II
Most barbiturates are Schedule _______ controlled substances.
lower
Older adults should be given _______ doses of these drugs.
seizure disorder
Romazicon (Flumazenil) should not be given to a patient who has a_____________.
skeletal muscle relaxants, antihistamines
Types of sedatives include:
immediately
When taking any sedatives, go to sleep ____ after taking the drug.
safety precautions are necessary to prevent falls
Which considerations apply to an older adult who is taking a drug to treat insomnia?
remind the patient to change positions slowly
Which intervention is most appropriate when administering a medication to treat insomnia?
falling asleep while driving, reading, or watch TV, Irritability during the day
Which of these are signs of sleep deprivation?
insomnia
_____ is the inability to go to sleep or stay asleep through the night.
barbiturates
_______ induce general depression over all CNS functions.
motor; sensory
________ and ________ function are inhibited by barbiturates.
benzodiazepines
__________ have a risk of dependence when used for extended periods.
sedatives
drugs that promote sleep by targeting signals in the brain to produce calm and ease agitation
sedatives
drugs that promote sleep by targeting signals in the brain to produce calm and ease agitation.
antihistamines
drugs used to treat allergies and allergic reactions. Some, such as diphenhydramine (Allerdryl, Benadryl) and dimenhydrinate (Dramamine, Gravol), have sedating effects and are available over the counter.
