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Treatment of GAD (generalized anxiety disorder).panic disorder.mgmt of anxiety associated with depression.
-may produce cns depression
-renal problems, possible dependence
-avoid grapefruit juice, alcohol & other cns depressants
-mod or severe pain, anesthesia adjunct, analgesic during labor, preop sedation
-not for use w/head trauma, increased ICP, renal probs, or pts on mao inhibitors.(death)
-no alc. or cns depressants
-hold if resp <12 min w/adult or <20min w/child
-use during L&D can cause resp depr. in newborn.
-monitor for cns stimulation (restlessness, seizures, irratability)
- PO can be admin w/food or milk
-pt can OD, admin slowly over at least 5 mins (resp. depr, HTN, circulatory collapse)
-antidotes, opiod antagonist
-indication- reversal of cns/resp depression
- monitor VS
-caution with CV disease
-can cause withdrawal on pts with long-term use of opiods.
-monitor resp rate, rhythm, depth, pulse, ECG, BP, LOC for 3-4 hrs after admin.
*unlabeled use- narcotic induced pruritis (low dose IV infusion)
-mgmt of mod to severe pain, analgesia during labor, sedation before surgery, supplement in balanced anesthesia
-caution with head trauma, increased ICP, renal probs, alcoholism.
-Extreme caution with MAO inhibitors (death)
-pt can OD, admin over 3-5 mins.
What are the CNS drugs?
- -Alprazolam (Xanax)
- -Meperidine (Demorol)
- -Narcan (Naloxone)
- -Butorphanol (Stadol)