NSG 349 Study Guide - Midterm Guide: Brainstem, Shortness Of Breath, Pentobarbital
Document Summary
Uses: sedation, muscle spasms, anxiety, alcohol withdrawal, acute seizures. Action: depress hypothalamic, thalamic & limbic system in brain gaba receptors. Contraindications: allergy, narrow angle glaucoma, pregnancy, addictive. Adverse effects: paradoxical excitement, vertigo, cognitive impair, lethargy, Toxicity: confusion, cant wake pt, coma, decrease reflex, hypotension (rare), resp depress, antidote: flumazenil. Hypnotics: eszopiclone (lunesta), ramelteon (rozerem), zaleplon (sonata), zolpidem (ambien) Indications: anesthesia induction, seizure control, icp, prevent seizures (not sleep), habit-forming, low therapeutic index. Action: decrease nerve transmission between brain stem & cerebral cortex. Contraindication: pregnancy, respiratory difficulties, severe kidney/liver disease. Adverse effects: drowsiness, lethargy, dizziness, hangover, paradoxical restlessness or excitement. Toxicity management: supportive airway, ventilation, oxygen. Interaction: increases action of liver enzymes so increases metabolism of other drugs, maoi, tricyclics, anticoagulants, oral contraceptives. Uses: muscle spams, low back pain. Action: relax striated muscles, decrease contractions. Adverse effects: euphoria, confusion, muscle weak (early in treating), diarrhea, headache, low bp, tachycardia.
