4000 MH PRESENTATION

As a mental health student nurse, which of the following statements indicates that a pateint needs additional teaching regarding sedative-hypnotic drugs?

SELECT ALL THAT APPLY

• I will be going on a long drive after taking this medication

• I will monitor and report side effects to my psychiatrist and nurse

• I will be taking my benzodiazepine drug as frequently as possible to control my anxiety

• I will be drinking alcohol while taking this drug

Is this statement TRUE OR FALSE:

Barbiturates, a type of sedative-hypnotic, binds to the GABA-A receptor. Specifically, it binds to the alpha & beta subunits which increases the duration & frequency of the chloride channels from opening

• TRUE

• FALSE

What are the common side effects of both anti-anxiety and sedative-hypnotic drugs (benzodiazepines)?

SELECT ALL THAT APPLY

• dizziness & droswiness

• impaired coordination, balance & speech

• hangover

• angioedema

Which of the following statements are true:

• Hormonal ontraceptives decrease metabolism & does not affect action of drug

• Grapefruit juice does not increase the effects of some benzodiazepines

• Alcohol & caffeine have no effect on benzodiazepine drugs

• Both anti-anxiety and sedative hypnotic medication can lead to CNS depression

As a student nurse how would you best describe the difference between anti-anxiety medication and sedative hypnotic medication?

• Anti-anxiety drugs have specific effects on symptoms of anxiety, such as panic attacks or extreme fear and worry

• Only anti-anxiety medications are used as a muscle relaxant, to induce sedation for surgery and other medical procedures, and in the treatment of alcohol withdrawal

• There is no difference

• GABA receptors are affected only in sedative hypnotic medications

You are taking care of 4 patients who are all experiencing severe anxiety. You check their MAR, and see that they have an order of 2mg PO Diazepam (Valium) PRN. However, one patient's status would not be best fit for this medication. Which patient should you NOT administer Valium to?

• A 25 year old patient experiencing alcohol withdrawal symptoms

• A 35 year olf patient experiencing muscle spasms

• A 76 year old patient that is prone to falls and has severe renal impairment

• A 50 year old patient with no past history of suicide attempts