성장을 멈추지 마세요

체험은 만족하셨나요?

현재 45,781명이 마이메르시로 공부 중이에요

지식 자료를 소장하고 멋진 의료인으로 성장하세요

학습 자료 둘러보기 →
Antianxiety or Anxiolytic Medications | 마이메르시 MyMerci
제안하기

뭔가 하고 싶은 말이 있는거야?

0 / 2000
컨텐츠 수정하기

컨텐츠 내용을 수정할 수 있습니다

수정하기
닫기

Antianxiety or Anxiolytic Medications

NCLEX Review Guide: Antianxiety/Anxiolytic Medications

Benzodiazepines

Common Benzodiazepines

  • Lorazepam (Ativan) - Short-acting, preferred in elderly due to no active metabolites
  • Alprazolam (Xanax) - Intermediate-acting, high potential for dependence
  • Diazepam (Valium) - Long-acting, used for alcohol withdrawal and muscle spasms
  • Clonazepam (Klonopin) - Long-acting, also used for seizure disorders

Memory Aid: "ABCD of Benzos"

Alprazolam - Anxiety (short-term)
Benzos cause sedation
Clonazepam - Convulsions too
Diazepam - Detox (alcohol withdrawal)

Key Points

  • Enhance GABA neurotransmitter activity, producing calming effects
  • High potential for tolerance, dependence, and withdrawal symptoms
  • Never discontinue abruptly - requires gradual tapering to prevent seizures

Non-Benzodiazepine Anxiolytics

Buspirone (BuSpar)

  • Mechanism: Partial serotonin receptor agonist, not related to benzodiazepines
  • Takes 2-4 weeks to achieve therapeutic effect, unlike immediate benzodiazepine action
  • No sedation, dependence potential, or withdrawal syndrome
  • Cannot be used for acute anxiety episodes due to delayed onset
Clinical Alert: Buspirone cannot substitute for benzodiazepines in withdrawal management

Nursing Considerations & Safety

Assessment & Monitoring

  1. Assess baseline anxiety level using standardized scales
  2. Monitor vital signs, especially respiratory rate and blood pressure
  3. Evaluate cognitive function and fall risk, particularly in elderly patients
  4. Screen for substance abuse history and concurrent alcohol use

Clinical Scenario

A 75-year-old patient with anxiety is prescribed lorazepam. Priority nursing actions include:

  • Start with lowest effective dose due to increased sensitivity
  • Implement fall precautions due to sedation and confusion risk
  • Monitor for paradoxical reactions (agitation, confusion)

Key Points

  • Never mix with alcohol - can cause fatal respiratory depression
  • Elderly patients require lower doses and closer monitoring
  • Assess for therapeutic effectiveness within 30-60 minutes of administration

Commonly Confused Concepts

Benzodiazepines Buspirone
Immediate onset (30-60 min) Delayed onset (2-4 weeks)
High dependence potential No dependence potential
Causes sedation No sedation
Used for acute anxiety Used for chronic anxiety
Requires tapering Can stop abruptly

Memory Aid: "BuSpar is the Bus that's Slow"

BuSpar (Buspirone) takes time to work like a slow bus, but it's safer for long-term travel (no dependence)!

Study Tips & Quick Checks

High-Yield NCLEX Points

  • Benzodiazepine antidote: Flumazenil (Romazicon)
  • Signs of benzodiazepine withdrawal: tremors, seizures, anxiety, insomnia
  • Contraindications: acute narrow-angle glaucoma, severe respiratory depression
  • Pregnancy category: Most are Category D (avoid in pregnancy)
Common Pitfalls:
  • Don't confuse buspirone's delayed onset with benzodiazepine immediate effects
  • Remember: flumazenil can precipitate withdrawal in dependent patients
  • Elderly patients may experience paradoxical excitement instead of sedation

Quick Check Questions

☐ Can you name the benzodiazepine antidote?
☐ Which anxiolytic takes 2-4 weeks to work?
☐ What's the biggest risk when stopping benzos abruptly?
☐ Which population needs lower doses of benzodiazepines?

Remember: You're preparing to keep patients safe! Master these concepts to provide excellent nursing care and pass your NCLEX with confidence. Every study session brings you closer to your RN license! 🌟

다음 이론을 계속 학습하려면 로그인하세요.

로그인하고 계속 학습
컨텐츠를 그만볼래?

필기노트, 하이라이터, 메모는 잘 쓰고 있어?

내보내줘
어떤 폴더에 저장할래?

컨텐츠 노트에는 총 0개의 폴더가 있어!

폴더 만들기
컨텐츠 만들기
만들기
신고했어요.

운영진이 검토할게요!

해당 유저를 차단했어요.

마이페이지에서 차단한 회원을 관리할 수 있어요.