While you are in J.J.'s room, he states that he would like to rest for a while, and he requests something to "calm his nerves." you check his medical record see these PRN (as needed) medications listed
PRN Medications
Acetaminophen?(Tylenol)?650?mg?PO?every?6?hours?prn?pain?or?fever
Alprazolam?(Xanax)?orally?dissolving?tablet,?0.5?mg?by?mouth?every?4?hr?prn?anxiety
Zolpidem?(Ambien)?extended?release,?12.5?mg?PO?at?bedtime?if?needed
Which medication is most appropriate to administer at this time? Explain.
What are the adverse effects of long-term use of benzodiazepine anxiolytics?
You decide to notify J.J.'s physician about his reaction to the movie. The physician writes an
order to start paroxetine (Paxil). How does this medication differ from alprazolam?
Which of these are potential side effects of paroxetine? Select all that apply.
a. Nausea
b. Constipation
c. Postural hypotension
d. Headache
e. Tinnitus
Alprazolam, a benzodiazepine anxiolytic, would be the most appropriate choice for anxiety. The
acetaminophen is appropriate for mild to moderate pain or for fever. The zolpidem is a sleeping
pill (hypnotic), and J.J.'s flashback incident occurred in the afternoon. It is too early in the day for a
sleeping pill.
Addiction: the need for more medication to get desired effect, withdrawal on abrupt cessation.
Long-term use can also cause depression and insomnia.
Alprazolam (Xanax) is a benzodiazepine anxiolytic and is useful when a quick onset is needed for
reducing symptoms of anxiety. It should be used only on a short-term basis until other medications
or treatments are helpful.
Paroxetine (Paxil) is a selective serotonin reuptake inhibitor (SSRI) that is approved for use in
patients with PTSD. It has a "calming" effect when used in patients with anxiety disorders but can
take a few weeks to become effective. It is designed for long-term use in patients with anxiety
disorders.
Answer: a, c, d
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