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What drugs can be responsible for insomnia? |
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Definition
steroids benzos dilantin thophylline L-dopa
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Term
Prior to pharmaceutical interventions what are some treatments for insomnia? |
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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
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Term
True or False Ambien is used for pts that have trouble falling asleep. |
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Definition
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True or False Ambien CR is used for pts that have trouble falling asleep & staying asleep. |
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Definition
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Term
What would be an optimum drug of choice for the pt that suffers from both depression as well as insomnia? |
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Definition
Remeron 15 mg @ HS treats depression treats anxiety increases appetite induces sleep |
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Term
True or False Lunesta 1, 2, or 3 mg is well tolerated and has a moderate length of action & helps pts stay asleep. |
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Definition
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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. |
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Definition
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True or FAlse: Benzos can cause a paradoxial effect of agitates states and anterograde amnesia. |
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Definition
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True or False Halcion has the highest rate of withdrawl psychosis & seizures than any other benzo. |
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Definition
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True or False Elavil has some lovely S/E of constipation, orthostatic hypotension & cardiac effects. |
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Definition
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True or False The NP should always consider non Rx treatments first in insomnia & consider depression and insomnia as co-diagnosis. |
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Definition
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Term
What are some S/E of Ambien CR? |
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Definition
- memory lapses
- unusual amnesiac activity
- very strange actions
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Term
True or False Antihistamines should not be used to tx insomnia due to their ability to cause confusion and hangover in the elderly.. |
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Definition
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Definition
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