NCLEX-Sedative Hypnotics

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NCLEX-Sedative Hypnotics
2013-01-30 23:24:47
NCLEX Sedative Hypnotics

NCLEX-Sedative Hypnotics
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  1. Diazepam (valium)
  2. What are the 3 types of sedative hypnotics?
    Benzos, barbs, and benzo like meds
  3. Alprazolam (xanax)
    Lorazepam (Ativan)
    Chlordizepoxide (Librium)
    Temazepam (Restoril)

    What type of meds are these?
  4. Why do pts need to discontinue benzos gradually?
    Because they can cause withdrawal.
  5. With what conditions are benzodiazepines contraindicated in?
    sleep apnea, respiratory depression, organic brain disease, or lactation
  6. What foods/ drugs do benzo's interact w/?
    Alcohol, opioids and barbituates. they can caused additive CNS depressant effects.
  7. What Benzo is the agent of choice for an IM injection?
  8. Zolpidem (ambien)
    non- benzo. management of insomnia
  9. zaleplon (sonata)
    Eszopiclone (Lunesta)
    Trazodone (Desyrel)
    Non benzodiazepines used for tx of insomnia
  10. Ramelteon (Rozerem)
    Melatonin agonist for insomnia
  11. What kind of foods can decrease absorption of ramelteon (Rozerem)
    High fat foods.
  12. besides sleepiness, what is a side effect another adverse effect of ramelteon (Rozerem)?
    Hormonal effects (Amenorrhea, decreased libido, difficutly w/ fertility, galactorrhea).
  13. concurrent use w/ what med can increase levels of Ramelteon (Rozerem)
    Fluvoxamine (Luvox)
  14. Thiopental (pentothal)
    barbituate. Intravenous non-opioid agent.
  15. Midazolam (versed)
    Benzodizepine. used for IV anesthetic
  16. Diazepam (valium)
    Benzodiazepine- used for IV anesthetic.
  17. Propofol (Diprivan)
    IV anesthetic
  18. Ketamine (Ketalar)
    IV anesthetic
  19. Fentanyl (sublimaze)
    IV opioid agent used for anesthesia
  20. Alfentanil (alfenta)
    IV opioid agent used for anesthesia
  21. Sufentanil (sufenta)
    IV opioid agent used for anesthesia
  22. W/ anesthetic agents, what are some expected side effects?
    Resp/ cardiovascular depression and hypotension.
  23. With what IV anesthetic agent do you have the risk for a Bacterial infection?
  24. With what IV anesthetic can you have psychologic reactions?
  25. In order to decrease pain @ the insertion site, Propofol should be injected where?
    A big vein.
  26. Ketamine is contraindicated in people who have?
    A mental illness
  27. What is the antidote for Benzodiazepines?
    Flumazenil (Romazicon)