5 Written Questions

1. Report SOB, new-onset depression or worsen existing depression. Start lowest and go slow. Do not suddenly stop taking.Do not stand or sit up too quickly; hold onto railings when going up/down steps. Educate diabetics to check glucose levels often.
2. More sensitive to the SE/AE and increased risk for falls while taking these drugs, used cautiously. lower dose recommended.
3. Block the effects of epinephrine and norepinephrine from beta-adrenergic receptors throughout the body (beta 1 and beta 2); decrease HR and BP associated with anxiety, has NO effect on cognition
4. Bind to α2 receptors in the brain to decrease presynaptic calcium levels, and inhibit the release of norepinephrine (NE), leading to decreased sympathetic tone
5. anti-cholinergic effects (5can'ts, 1OH), dry mouth, nose, and throat, upset stomach, drowsiness, dizziness, chest congestion, headache, reddening of skin

5 Matching Questions

1. anti-histamines AE
2. Benzo-diazapines GERO
3. Benzo-diazapines MOA
4. alpha 2-adrenergic agonist Monitoring Tests
5. Non-benzodiazepine Sedative-hypnotic Patient Education

1. a Blood sugar and blood pressure, HR
2. b RARE
3. c Report complex sleep-related behaviors;
   Take it immediately before bedtime, take it when able to get a full night's sleep (i.e., 7-8 hours). Not abruptly discontinuing therapy. Do not operate machinery or drive, report all prescriptions and OTC drugs, avoid alcohol and other CNS depressants
4. d More sensitive to the SE/AE and increased risk for falls while taking these drugs, used cautiously. lower dose recommended to avoid oversedation
5. e potentiate the action of gamma-aminobutyric or GABA, including any other inhibitory transmitters in the CNS resulting in decreased anxiety. Most agents cause a decrease in CNS excitability

5 Multiple Choice Questions

1. decrease anxiety
   1. alpha 2-adrenergic agonist USE
   2. alpha 2-adrenergic agonist EE
   3. alpha 2-adrenergic agonist SE
   4. alpha 2-adrenergic agonist AE
2. CHF, hallucinations, delirium
   1. alpha 2-adrenergic agonist EE
   2. alpha 2-adrenergic agonist AE
   3. alpha 2-adrenergic agonist PG
   4. alpha 2-adrenergic agonist SE
3. do not operative vehicles or machinery with this drug
   1. anti-histamines Pediatric
   2. anti-histamines Brest feeding
   3. Benzo-diazapines Patient Education
   4. anti-histamines Patient Education
4. ataxia, hostility, anterograde amnesia, rebound insomnia/anxiety, suicidal ideation, tolerance, dependence and withdrawal syndrome with long term use
   1. Benzo-diazapines
   2. Benzo-diazapines MOA
   3. Benzo-diazapines AE
   4. Benzo-diazapines PG
5. Heart rate, monitor glucose in patients with diabetes, blood pressure, respiratory rate, O2SAT
   1. Beta blocker Geriatric
   2. Beta blocker Monitoring Test
   3. Beta blocker Contraindication*
   4. Beta blocker Pediatric

5 True/False Questions

1. Non-benzodiazepine Sedative-hypnotic Contraindication → Not use with other CNS depressant, like alcohol

   True        False

2. Non-benzodiazepine Sedative-hypnotic Breast Feeding → • depression, worsening
   • suicidal ideation
   • aggressive behavior
   • complex sleep-related behavior
   • hallucinations
   • amnesia
   withdrawal if abrupt D/C

   True        False

3. Beta blocker PG → Bradycardia, chest pain, severe dizziness or fainting, irregular heart rate, skin rash, hypoglycemia, depression, heart block, bronchospasm, dyspnea

   True        False

4. Benzo-diazapines EE → sedative, hypnotic (induce sleep), anxiolytic (antianxiety), anticonulsant (seizure), muscle relaxant and amnesic (loss unpleasant memory)

   True        False

5. Serotonin receptor agonist EDU → Takes several weeks to reach therapeutic effect. Take exactly as prescribed in order to decrease risk of dependence. Do not just discontinue taking these drugs, your doctor may want to taper off the dose in order to avoid withdrawal symptoms.

   True        False