Shared Flashcard Set

Details

Insomnia
insomnia
14
Medical
Graduate
10/24/2008

Additional Medical Flashcards

 


 

Cards

Term
What drugs can be responsible for insomnia?
Definition
  • steroids
  • benzos
  • dilantin
  • thophylline
  • L-dopa
Term
Prior to pharmaceutical interventions what are some treatments for insomnia?
Definition
  • no etoh after 5p
  • avoid heavy late nite snacks
  • develop rituals
  • go to bathroom before bed
  • go into bedroom at HS only
  • relaxation techs.
  • CBT
Term

True or False

Ambien is used for pts that have trouble falling asleep.

Definition
True
Term

True or False

Ambien CR is used for pts that have trouble falling asleep & staying asleep.

Definition
True
Term
What would be an optimum drug of choice for the pt that suffers from both depression as well as insomnia?
Definition

Remeron 15 mg @ HS

treats depression

treats anxiety

increases appetite

induces sleep

Term

True or False

Lunesta 1, 2, or 3 mg is well tolerated and has a moderate length of action & helps pts stay asleep.

Definition
True
Term

True or False

Another Rule of Rosner:

Although Ambien is available in 5mg, it is best to prescribe the 10mg and have the pt cut it in half. This way if the one half tab is not enough the pt can then just take the whole tab of 10mg.

Definition
True
Term

True or FAlse:

Benzos can cause a paradoxial effect of agitates states and anterograde amnesia.

Definition
True
Term

True or False

Halcion has the highest rate of withdrawl psychosis & seizures than any other benzo.

Definition
Yup.
Term

True or False

Elavil has some lovely S/E of constipation, orthostatic hypotension & cardiac effects.

Definition
True.
Term

True or False

The NP should always consider non Rx treatments first in insomnia & consider depression and insomnia as co-diagnosis.

 

Definition
True.
Term
What are some S/E of Ambien CR?
Definition
  • memory lapses
  • unusual amnesiac activity
  • very strange actions
Term

True or False

Antihistamines should not be used to tx insomnia due to their ability to cause confusion and hangover in the elderly..

Definition
True.
Term
What is Rozerem?
Definition
  • restores melatonin
  • resets internal clock
  • causes severe allergic reactions
  • hangover
  • impaired thinking
  • unusual activities
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