A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?
a. buspirone (BuSpar)
b. lorazepam (Ativan)
c. amitriptyline (Elavil)
d. desipramine (Norpramin)
ANS: B
Lorazepam is a benzodiazepine used to treat anxiety. It may be given as a prn medication. Buspirone is long acting and is not useful as a prn drug. Amitriptyline and desipramine are tricyclic antidepressants and considered second- or third-line agents.
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