Anxiolytics and Sedative-Hypnotics
TERMS
□ phenobarbital (Luminal)
□ diazepam (Valium)
QUICK LOOK AT THE CHAPTER AHEAD
The anxiolytics and sedative-hypnotics are drugs that have depressant effects on the central nervous system (CNS). They currently rank among the most prescribed drugs in the world.1 The hypnotics cause sleep to occur, while the anxiolytics and sedatives induce relaxation. The effects of these drugs are controlled by their dosages. Small doses of hypnotics can cause sedation, while high doses of the anxiolytics and sedatives can cause sleep. The barbiturates were previously used as anxiolytics, sedatives, and hypnotics but have been mostly replaced by the benzodiazepines, which are considered to be safer.1 Both groups of drugs have been discussed previously in Chapter 18, and the reader should refer to that chapter for information on them. A third group of miscellaneous drugs that also effect sleep, sedation, and anxiety will be mentioned.
Table 21-1 Anxiolytics and Sedative-Hypnotics | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
|
ANXIOLYTICS AND SEDATIVE-HYPNOTICS CLIENT TEACHING
For All Miscellaneous Drugs
Do not breast-feed.
Do not abruptly stop drug.
No alcohol while taking drug
Do not perform activities that require concentration until drug effects are known.
Report any unusual effects to physician.
Take exactly as directed.
ACTION
USE
Miscellaneous Drugs
Buspirone (BuSpar)
Anxiety
Chloral hydrate (Aquachloral)
Preoperative sedation and sleep
Dexmedetomidine (Precedex)
Sedation in mechanically ventilated and newly intubated patients
Eszopiclone (Lunesta)
Insomnia
Ethchlorvynol (Placidyl)
To treat short intervals (no longer than a week) of insomnia
Glutethimide (Doriglute)
Preoperative sedation, during first stage of labor and for short intervals of insomnia
Paraldehyde (Paral)
Sedation in delirium tremens and seizures from drug intoxication, tetanus, status epilepticus, and eclampsia
Ramelteon (Rozerem)
Insomnia in patients who have difficulty falling asleep
Zaleplon (Sonata)
Brief interval of insomnia