Xanax (Alprazolam) Flashcards
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Questions and Answers

What is the drug classification of Xanax?

  • Antidepressant
  • Antipsychotic
  • Stimulant
  • Anxiolytic - benzodiazepine (correct)
  • What is the safe dose range for Xanax?

    PO 0.25 mg - 0.5 mg, not to exceed 4 mg/day

    The pharmacological action of Xanax may be mediated by ______.

    GABA

    Which of the following is a therapeutic use of Xanax? (Select all that apply)

    <p>Relief of panic attacks</p> Signup and view all the answers

    Match the following side effects/adverse effects with their descriptions:

    <p>Dizziness = Feeling lightheaded or faint Drowsiness = Sleepiness or lethargy Confusion = Difficulties with understanding or focus Blurred vision = Unclear or distorted vision</p> Signup and view all the answers

    Which of the following can interact with Xanax? (Select all that apply)

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

    What are some nursing interventions for Xanax?

    <p>Take as directed, do not double dose, avoid driving, assess for falls risk.</p> Signup and view all the answers

    What should be monitored during Xanax administration?

    <p>Patient drowsiness, CBC, and renal function</p> Signup and view all the answers

    What indicates the effectiveness of Xanax treatment?

    <p>Decreased severity and frequency of panic attacks</p> Signup and view all the answers

    Study Notes

    Drug Classification

    • Xanax (alprazolam) is classified as an anxiolytic and belongs to the benzodiazepine family.

    Safe Dose Range

    • Recommended oral dosage is between 0.25 mg and 0.5 mg.
    • Maximum dosage should not exceed 4 mg per day.

    Pharmacological Action

    • Acts as a central nervous system (CNS) depressant.
    • Its effects may be mediated through GABA (gamma-aminobutyric acid) pathways.

    Therapeutic Uses

    • Provides relief from anxiety disorders.
    • Effective for treating panic attacks and panic disorder.
    • Alleviates anxiety associated with depression.

    Side Effects/Adverse Effects

    • Common side effects include dizziness, drowsiness, lethargy, and confusion.
    • Other effects can manifest as hangover symptoms, headaches, mental depression, blurred vision, and gastrointestinal issues (nausea, vomiting, diarrhea).
    • May also cause sexual dysfunction.

    Medication/Food Interactions

    • Grapefruit juice can increase alprazolam levels and effects.
    • Alcohol and other benzodiazepines or CNS depressants enhance effects and risks.
    • Hormonal contraceptives and cigarette smoking may alter drug efficacy.
    • Antihistamines and certain herbal remedies may also interact.

    Nursing Interventions/Client Education

    • Patients should take the medication as directed without doubling doses.
    • Abrupt cessation can lead to withdrawal symptoms like sweating, vomiting, muscle cramps, tremors, and seizures.
    • Patients should be cautioned about potential drowsiness and dizziness; driving should be avoided.
    • Implement fall prevention strategies, especially in elderly patients.
    • Advise taking the medication with food to minimize gastrointestinal upset.
    • Encourage rising slowly to prevent lightheadedness and recommend sugar-free options for dry mouth.

    Nursing Administration

    • Continuously assess patients for signs of drowsiness, lightheadedness, or dizziness.
    • In geriatric patients, monitor CNS effects and fall risks.
    • Caution regarding prolonged high-dose therapy due to dependency concerns.
    • Regularly monitor complete blood count (CBC) and renal function.
    • Watch for potential decreases in hematocrit and neutropenia.
    • Be vigilant for signs of toxicity and overdose.

    Evaluation of Medication Effectiveness

    • Effective treatment is indicated by a reduced sense of anxiety without adverse CNS effects.
    • A decrease in the severity and frequency of panic attacks is a positive outcome.
    • Improved symptoms related to premenstrual syndrome can also signal effectiveness.

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    Test your knowledge on Xanax (alprazolam) with these flashcards. Explore drug classifications, safe dosage ranges, pharmacological actions, and therapeutic uses. Perfect for students studying pharmacology or mental health medications.

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