The nurse admits a patient with narcolepsy to the psychiatric-mental health unit. Which statements best describe the medication choices for this disorder? Select all that apply
1. Sodium oxybate is given at night to consolidate sleep.
2. Traditional stimulants are given to increase wakefulness.
3. Antidepressants are used because they are known to suppress REM sleep.
4. Diphenhydramine is often the first line drug because of its safety profile.
5. Antipsychotics may be prescribed to reduce cataplexy.
Answer: 1, 2, 3
Explanation: Treatment of narcolepsy is largely pharmacological. Sodium oxybate is given at night to consolidate sleep, although it is not the first line drug to treat this disorder. When treating narcolepsy, traditional stimulants are given to increase wakefulness and antidepressants are used because they are known to suppress REM sleep. Diphenhydramine and antipsychotics are not used to treat narcolepsy.
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