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Diazepam (valium)
Benzodiazepine
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What are the 3 types of sedative hypnotics?
Benzos, barbs, and benzo like meds
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Alprazolam (xanax)
Lorazepam (Ativan)
Chlordizepoxide (Librium)
Temazepam (Restoril)
What type of meds are these?
Benzodiazepines
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Why do pts need to discontinue benzos gradually?
Because they can cause withdrawal.
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With what conditions are benzodiazepines contraindicated in?
sleep apnea, respiratory depression, organic brain disease, or lactation
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What foods/ drugs do benzo's interact w/?
Alcohol, opioids and barbituates. they can caused additive CNS depressant effects.
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What Benzo is the agent of choice for an IM injection?
Lorazepam
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Zolpidem (ambien)
non- benzo. management of insomnia
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zaleplon (sonata)
Eszopiclone (Lunesta)
Trazodone (Desyrel)
Non benzodiazepines used for tx of insomnia
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Ramelteon (Rozerem)
Melatonin agonist for insomnia
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What kind of foods can decrease absorption of ramelteon (Rozerem)
High fat foods.
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besides sleepiness, what is a side effect another adverse effect of ramelteon (Rozerem)?
Hormonal effects (Amenorrhea, decreased libido, difficutly w/ fertility, galactorrhea).
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concurrent use w/ what med can increase levels of Ramelteon (Rozerem)
Fluvoxamine (Luvox)
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Thiopental (pentothal)
barbituate. Intravenous non-opioid agent.
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Midazolam (versed)
Benzodizepine. used for IV anesthetic
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Diazepam (valium)
Benzodiazepine- used for IV anesthetic.
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Propofol (Diprivan)
IV anesthetic
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Ketamine (Ketalar)
IV anesthetic
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Fentanyl (sublimaze)
IV opioid agent used for anesthesia
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Alfentanil (alfenta)
IV opioid agent used for anesthesia
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Sufentanil (sufenta)
IV opioid agent used for anesthesia
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W/ anesthetic agents, what are some expected side effects?
Resp/ cardiovascular depression and hypotension.
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With what IV anesthetic agent do you have the risk for a Bacterial infection?
Propofol
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With what IV anesthetic can you have psychologic reactions?
Ketamine
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In order to decrease pain @ the insertion site, Propofol should be injected where?
A big vein.
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Ketamine is contraindicated in people who have?
A mental illness
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What is the antidote for Benzodiazepines?
Flumazenil (Romazicon)
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