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Nur 180 Hondros Exam 2

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Nur 180 Hondros Exam 2 Clonazepam (Klonopin) PRN, Labs: CBC, LFT's, No alcohol allowed, rhinitis common Buspirone (Buspar) Taken daily, non-benzo, antianxiety med, low sedation and addiction, common S/E: Dizziness, Insomnia, Nervousness Fluoxetine (Prozac) SSRI, sustained release- do no...

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  • April 27, 2024
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  • 2023/2024
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Nur 180 Hondros Exam 2
Clonazepam (Klonopin)
PRN, Labs: CBC, LFT's, No alcohol allowed, rhinitis common

Buspirone (Buspar)
Taken daily, non-benzo, antianxiety med, low sedation and addiction, common S/E: Dizziness,
Insomnia, Nervousness


Fluoxetine (Prozac)
SSRI, sustained release- do not open capsule, used for OCD, S/E: Changes in wt, no aspirin could lead
to GI bleed, dizziness and drowsiness. Takes 4 wks to work


SSRI
Used for Bulimia..... no antidepressants given for anorexia nervosa


Lorazepam (Ativan)
Benzodiazepine, antianxiety, given PRN


Thiamine B1
Used for alcohol withdrawl to prevent Wernicke's and Korsakoff


Benzodiazepines
Prevent seizures


Suboxone (buprenorphine/naloxone)
Prevents heroin relapse


Mild anxiety
Normal vital signs, minimal muscle tension, pupils normal- contricted.
Eustress


Moderate anxiety
V/S normal or slightly elevated, tension experienced maybe uncomfortable or unpleasureable


Severe anxiety
Fight or flight mode, muscles rigid and tense, hearing decreased, pain sensation decreased


Panic anxiety
Low V/S, pass out, lose control over body, pain and hearing sensations gone


Anxiety Disorder and the main goal
Exhibits physiological signs such as sweating and racing heart rate. Main goal is to keep pt safe.


Interventions for stress

, Identify strengths and weaknesses, Meds, CAMS, cognitive therapy


Traumatic Stress Response
Witness a traumatic event (Rape, War, Murder, etc) leads to post traumatic stress disorder


Anxiety trait
Trait where someone makes something small into something huge


6 Defense Mechanisms
Denial, Regression, Displacement, Rationalization, Projection, Suppression


Examples of Defense Mechanisms
Denial- A child covered with chocolate refuses to admit eating candy
Displacement- A husband shouts at his wife, the wife then berates her child, who then scolds the dog.
Projection- A woman is afraid to leave her house because she knows people will ridicule her.
Rationalization- A student justifies failing an exam by saying there was too much material to cover.
Regression- A 4 year old's parents are going through a divorce so they being to suck their thumb and
wet the bed
Suppression- A woman with a family history of breast cancer "forgets" her mammogram appt.


Anxiety in the elderly
Changes in eating and sleeping


OCD
Obsession- thought
Compulsion- action/ritual
Desensitization therapy
Set limits


Phobias
Treatment- Flooding


PTSD signs
Nightmares, Hypervigilance, Flashbacks, Aggression


Types of Grief
Anticipatory (knew it was coming) and complicated (unexpected)


Types of Loss
Situational and Maturational


5 Stages of Grief
denial, anger, bargaining, depression, acceptance (DABDA)


Hospice

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