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NSG 552 EXAM 2 WILKES UNIVERSITY
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NSG 552 EXAM 2 WILKES UNIVERSITY
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NSG 552 EXAM 2 WILKES UNIVERSITYAcute anxiety - Answers-First line for acute panic may be short term benzo use.
short acting benzos cause rebound anxiety and are the most abused
Benzodiazepines - Answers-Withdrawal can be dangerous, even deadly. Stopping
abruptly is not advised. Symptoms of agitation, tension, irritability, and sz. may occur
anxiety disorders - Answers-psychological disorders characterized by distressing,
persistent anxiety or maladaptive behaviors that reduce anxiety
anxiety disorders treatment - Answers--non-activating antidepressants area good place
to start. for this disorder
Trauma and Dissociative Disorders - Answers-Consider and treat and comorbid
disorders as well
Trauma and Dissociative Disorders first line pharmocology - Answers-Antidepressants
Psychotherapy are treatment of choice
Dissociative disorders - Answers-the degree of insight the patient has is crucial to the
outcome of psychotherapy
DID- Dissociative identity disorder - Answers-may consider multi pronged approach to
treatment but strongly linked to childhood trauma so treating underlying PTSD s/s is
often helpful
DID - Answers-discourage use of BZD
DID - Answers-beta blockers and alpha blockers useful for reducing sympathetic
nervous system activation
Prazosin - Answers-alpha 1 blocker helpful for nightmares and flashbacks
anorexia nervosa - Answers-An eating disorder characterized by an obstinate and willful
refusal to eat, a distorted body image, and an intense fear of being fat
Meds for anorexia - Answers-Prozac
Anafranil
Pariactin
Thorazine
Zyprexa
Used in anorexia nervosA - Answers-atypical antipyschotics
, binge eating disorder - Answers-significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
that marks bulimia nervosa
treatment of binge eating disorder - Answers-Antidepressants and other medication,
cognitive behavioral and interpersonal therapy.
psychosomatic goal - Answers-reduce discomfort, improve depression, improve
anxieties or obsessive thoughts
SSRI indications - Answers-Major depression, OCD, GAD, panic disorder, social anxiety
disorder and premenstrual dysphoric disorder
SSRI side effects - Answers-*BAD SSRI*
B - Body weight increase;
A - Anxiety/Agitation;
D - Dizziness; Dry mouth
S - Serotonin syndrome;
S - Stimulated CNS;
R - Reproductive/Sexual dysfunction
I - Insomnia;
antidepressants used in eating disorders - Answers-SSRIs (high doses), TCAs
TCAs - Answers-tricyclic antidepressants
TCA side effects - Answers-3Cs - cardiotoxicity, coma, convulsions
antihistamine - weight gain, sedation
anti adrenergic - orthostasis, reflex tachy, arrythmias, wide QRS/QT/PR
anti-muscarinic - dry mouth, constipation, urinary
retention, blurred vision, tachycardia, narrow angle glaucoma
serotoninergic side effects - erectile/ejaculatory dysfunction in males, anorgasmia in
females
lethal in overdose
weight gain
seizures
meds to treat Binge Eating Disorders - Answers-Vyvanse (lisdexamfetamine)
pharmacology indications for anorexia nervosa - Answers-No medications are approved
to treat anorexia because none has been found to work very well. However,
antidepressants or other psychiatric medications can help treat other mental health
disorders you may also have, such as depression or anxiety.
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