PC707 Module 7 –CNS Exam with 100% Verified and Updated Solutions

PC707 Module 7 –CNS Exam with 100% Verified and Updated Solutions Benzodiazepines are used for acute seizure activity. While benzodiazepines are sedating as Schedule IV drugs: - Answer ️️ -they have a fairly low potential for abuse when used short- term The combination of opioids & benzodiazepines can lead to: - Answer ️️ -severe respiratory depression & death With a high individual safety profile, severe side effects of opioids/benzos can still occur if: - Answer ️️ -used w/ other CNS depressants. Routine daily use of benzos/opiods: - Answer ️️ -may lead to physical dependence & is highly discouraged. For a pt who has chronically used benzodiazepines, abrupt discontinuation can cause: - Answer ️️ -seizures; therefore, discontinuation should be gradually tapered over many weeks. Prescribing for acute anxiety must be for the shortest time possible, as those benzodiazepines w/ the fastest onset of action are associated with? - Answer ️️ -the highest potential for abuse. Due to their rapid onset of action, these meds are often the most addictive. - Answer ️️ - (Alprazolam/Xanax & Diazepam/Valium) For long-term anxiety treated in a primary care setting, consider what meds indicated for anxiety? - Answer ️️ -SSRI or SNRI The pt will often present w/ severe anxiety & is hoping for quick relief, what can you consider? - Answer ️️ -2-week course of an intermediate-acting benzodiazepine PRN Q 8 hrs. to provide relief until an SSRI/SNRI can take effect. A pharmaceutical challenge for those who are following recommendations for sleep hygiene practices? - Answer ️️ -to simultaneously promote sleep & avoid dependency on meds Ideally, sleep meds should be given for how long? - Answer ️️ -short duration only Benzodiazepine names - Answer ️️ -Estazolam (ProSom), flurazepam (Dalmane), temazepam (Restoril). Max usage days for benzos? - Answer ️️ -10 days Rapid dose decreases of discontinuation can cause? - Answer ️️ -withdrawal symptoms, including anxiety & insomnia Benzodiazepines & the benzodiazepine receptor agonists are not recommended in the elderly because? - Answer ️️ -Risk of cognitive impairment, falls, & fractures If a pt suffers from mild depression & has difficulty w/ sleeping, what is often given before bed due to its sedative effects? - Answer ️️ -trazodone Trazodone produces? Overdose is less of a risk w/ this drug than w/ TCAs. - Answer ️️ -a moderate blockade of 5HT reuptake Improves conditions but doesn't cure them: - Answer ️️ -Lifestyle changes Once a pt is in remission of depressions, the antidepressant tx should be continued for? - Answer ️️ -six to twelve months in order to promote complete recovery Evidence suggests that often complete remission is: - Answer ️️ -not achieved w/ the first antidepressant tx How long does it take to see an initial effect (after starting a SSRI) & to achieve a full effect? - Answer ️️ -2-3 weeks/up to 6 weeks If a pt complains they are not getting any better after a two-week trial of SSRI, it is important that they are told:. - Answer ️️ -that it may take six weeks to achieve the maximum benefit from the m