Benzodiazepines and Spiritual Distress Overview
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Questions and Answers

What is one of the main side effects of certain antidepressant medications?

  • Weight gain
  • Headache
  • Nausea
  • Drowsiness (correct)
  • Benzodiazepines are primarily used to treat depression.

    False

    List two side effects of benzodiazepines.

    Amnesia and sedation

    Spiritual distress can occur when there is a conflict between a patient's beliefs and their __________ health regimens.

    <p>prescribed</p> Signup and view all the answers

    Match the following side effects with the type of drug:

    <p>Benzodiazepines = Drowsiness Antidepressants = Headache Anxiolytics = Fatigue Anticonvulsants = Confusion</p> Signup and view all the answers

    Which of the following is NOT a side effect of benzodiazepines?

    <p>Increased alertness</p> Signup and view all the answers

    People often question their spiritual values when they experience spiritual distress.

    <p>True</p> Signup and view all the answers

    What term describes the disruption in a person's life principle that affects their spiritual well-being?

    <p>Spiritual distress</p> Signup and view all the answers

    What is the primary use of long-acting beta-agonists (LABAs) in asthma treatment?

    <p>Maintenance therapy</p> Signup and view all the answers

    LABAs should always be used alone for long-term control of asthma.

    <p>False</p> Signup and view all the answers

    Name one common side effect of inhaled short-acting beta-agonists (SABAs).

    <p>Tremors</p> Signup and view all the answers

    LABAs have a long duration of action and are typically dosed every ____ to ____ hours.

    <p>12, 24</p> Signup and view all the answers

    Which of the following medications is available only in combination with another drug?

    <p>Vilanterol</p> Signup and view all the answers

    Excessive use of beta2-adrenergic agonists can lead to paradoxical bronchoconstriction.

    <p>True</p> Signup and view all the answers

    What adverse effect may LABAs cause that involves the heart's electrical activity?

    <p>Prolonged QT interval</p> Signup and view all the answers

    Common side effects of inhaled LABAs include anxiety, tachycardia, and _____.

    <p>headache</p> Signup and view all the answers

    Match the following medications with their type:

    <p>Salmeterol = LABA Albuterol = SABA Fluticasone = Glucocorticoid Umeclidinium = LAMA</p> Signup and view all the answers

    What should be used in conjunction with LABAs for optimal asthma control?

    <p>Inhaled glucocorticoids</p> Signup and view all the answers

    Which of the following antidepressants is commonly used as a sleep aid?

    <p>Doxepin</p> Signup and view all the answers

    All antidepressants are approved by the FDA for use as sleep aids.

    <p>False</p> Signup and view all the answers

    What is one of the main side effects of certain antidepressant medications?

    <p>Drowsiness</p> Signup and view all the answers

    Antidepressants can affect either the ________ or serotonin receptors to cause a sedative effect.

    <p>histamine</p> Signup and view all the answers

    Match the antidepressants with their brand names:

    <p>Doxepin = Silenor Trazodone = Oleptro Mirtazapine = Remeron Amitriptyline = Not applicable Imipramine = Not applicable</p> Signup and view all the answers

    What does 'off-label' use of medication imply?

    <p>The medication is used in a manner that has not been approved by the FDA</p> Signup and view all the answers

    Antidepressants are only prescribed at high doses when used as sleep aids.

    <p>False</p> Signup and view all the answers

    Name a common antidepressant used for its sedative properties.

    <p>Trazodone</p> Signup and view all the answers

    The FDA stands for ________ and Drug Administration.

    <p>Food</p> Signup and view all the answers

    Which antidepressant is NOT used as a sleep aid?

    <p>Fluoxetine</p> Signup and view all the answers

    What is the recommended amount of sleep for adolescents?

    <p>8-10 hours</p> Signup and view all the answers

    Antidepressants can increase REM sleep.

    <p>False</p> Signup and view all the answers

    What are two management methods that can help with sleep difficulties?

    <p>Regular exercise and good sleep habits</p> Signup and view all the answers

    Patients with narcolepsy should avoid _____ as it increases drowsiness.

    <p>alcohol</p> Signup and view all the answers

    Match the age group to their average sleep requirement:

    <p>Neonates = 16 hours Infants = 15 hours with naps Toddlers = 12 hours with a nap School-age = 9-12 hours</p> Signup and view all the answers

    Which of the following is a common side effect of anticonvulsants?

    <p>Daytime drowsiness</p> Signup and view all the answers

    Older adults typically require a consistent amount of sleep similar to young adults.

    <p>False</p> Signup and view all the answers

    What is the average sleep duration for a 6-year-old?

    <p>11 to 12 hours</p> Signup and view all the answers

    Antidepressants may lead to _____ as a side effect.

    <p>fatigue</p> Signup and view all the answers

    Which of the following factors contribute to increased drowsiness?

    <p>Heavy meals</p> Signup and view all the answers

    What does a sensitivity test determine regarding an antibiotic's effectiveness?

    <p>It identifies the specific antibiotic that can kill or inhibit the growth of a microorganism.</p> Signup and view all the answers

    Suctioning too frequently can lead to increased risk of infection due to repeated mucosal trauma.

    <p>True</p> Signup and view all the answers

    What is the main purpose of an oxygen mask?

    <p>To deliver oxygen to the patient as they breathe.</p> Signup and view all the answers

    The acronym 'HABITS' helps remember the side effects of suctioning too frequently: H - Hypoxemia, A - Airway trauma, B - ______, I - Increased infection risk, T - Tachycardia, S - Stimulation of vagus nerve.

    <p>Bleeding</p> Signup and view all the answers

    Match the following side effects with their corresponding descriptions:

    <p>Hypoxemia = Low oxygen levels Atelectasis = Collapsed lung segments Increased infection risk = Due to repeated mucosal trauma Tachycardia = Fast heart rate</p> Signup and view all the answers

    Study Notes

    Benzodiazepines

    • Benzodiazepines are the most prescribed anxiolytic drugs.
    • They are used to treat anxiety.
    • Common side effects include amnesia, anorexia, sedation, lethargy, fatigue, confusion, drowsiness, dizziness, ataxia, headache, slurred speech, visual changes, hypotension, weight gain or loss, nausea, and weakness.
    • Mild, infrequent side effects include headache, drowsiness, dizziness, cognitive impairment, vertigo, lethargy, fall hazard for older adults, and hangover effect or daytime sleepiness.

    Spiritual Distress

    • Spiritual distress is a disruption in the life principle that pervades a person's entire being and transcends their biological and psychosocial nature.
    • Individuals with spiritual distress can experience self-doubt, lose faith, feel alone, abandoned, and question their spiritual values or the meaning of life.
    • This can be exacerbated by illness, loss, grief, major life changes, or a conflict between a patient's beliefs and prescribed health regimens.
    • Spiritual distress can also occur when patients face the inability to practice their usual rituals.

    Sleep Requirements

    • Neonates: 16 hours of sleep
    • Infants: 15 hours total with naps
    • Toddlers: 12 hours total with a nap
    • Preschoolers: 12 hours per night
    • School-age: 9-12 hours
    • Adolescents: 8-10 hours recommended
    • Young Adults: 6-8.5 hours per night
    • Middle Adults: 7-9 hours per night
    • Older Adults: varies; many have sleep problems

    Side Effects of Antidepressants, Anticonvulsants and Stimulants

    • Antidepressants: can cause nausea, increased appetite and weight gain, loss of sexual desire, fatigue, dizziness, dry mouth, insomnia, and constipation.
    • Anticonvulsants: can cause drowsiness, dizziness, headaches, nausea, blurred vision, and unsteadiness.
    • Antidepressants and Stimulants: suppress REM sleep and decrease total sleep time.
    • Both antidepressants and anticonvulsants may increase the risk of suicidal thoughts and behaviors, especially in young adults.

    Long-Acting Beta2-Agonists (LABAs)

    • LABAs: are long-acting bronchodilators used for maintenance therapy, not acute relief.
    • They are not first-choice agents for long-term control and should always be combined with an inhaled glucocorticoid.
    • LABAs should never be used as first-line therapy for prolonged control or alone.
    • They may increase the risk of severe asthma and asthma-related death when used as monotherapy for long-term control.

    Side Effects of LABAs

    • Common side effects include tremors, anxiety, restlessness, dizziness, headache, palpitations, tachycardia, angina, cough, and bronchospasms.
    • LABAs can prolong the QT interval and cause ventricular arrhythmias.
    • Oral LABAs may activate beta receptors in the heart.

    Side Effects of Frequent Suctioning

    • HABITS:
      • Hypoxemia (low oxygen levels)
      • Airway trauma
      • Bleeding
      • Increased infection risk
      • Tachycardia (fast heart rate)
      • Stimulation of the vagus nerve (can cause arrhythmias, increased ICP)
      • Suctioning can lead to trauma and bleeding of the airway mucosa.
      • Can cause hypoxemia from interrupted ventilation.
      • Increased risk of arrhythmias and cardiovascular instability.
      • Atelectasis (collapsed lung segments) if too much air is removed.
      • Increased risk of infection from repeated mucosal trauma.
      • Patient discomfort, anxiety, and fatigue.
      • Increased intracranial pressure in patients with head injuries.

    Oxygen Mask

    • An oxygen mask is a plastic device that fits snugly over the mouth and nose.
    • It is secured in place with a strap.
    • It delivers oxygen as the patient breathes through either the mouth or nose.
    • An adjustable elastic band is attached to either side of the mask that slides over the head to above the ears to hold the mask in place.

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    Description

    Explore the dual topics of benzodiazepines as anxiolytic drugs and the concept of spiritual distress. This quiz covers the uses, side effects of benzodiazepines, and the emotional turmoil experienced during spiritual distress. Understand the implications for both physical and mental health.

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