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Sedative Hypnotics: In a Nutshell (Nursing)

by Rhonda Lawes

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    00:01 So let’s wrap up sedative hypnotics.

    00:03 These are drugs that depress the central nervous system.

    00:07 Most often we use them to treat anxiety and difficulty sleeping or insomnia.

    00:12 Now there's three main groups of sedative hypnotics: benzodiazepines, benzodiazepine-like drugs, and barbiturates.

    00:20 We focus on benzodiazepines because they're safer than barbiturates, there's less risk of developing tolerance and physical dependence.

    00:28 There's lower risk of respiratory depression unless you use it with other CNS depressants.

    00:34 So remember, don’t kick back a benzodiazepine with the big beer.

    00:39 Examples of benzodiazepine drug names include Alprazolam, Clonazepam, Diazepam - which you probably recognize as Valium; Lorazepam and Temazepam.

    00:50 Common side effects are sedation.

    00:53 Remember these are sedative-hypnotic drugs, so if you’ll kinda sleepy, maybe a little light-headed, tired, drowsy, a little bit confused and some anterograde amnesia - that’s short-term memory loss when you took the medication.

    01:06 It’s not safe to drink alcohol or take opioid medications in addition to benzodiazepines.

    01:12 While the benzodiazepines have a lower risk for abuse there's still a potential for abuse.

    01:19 Now Flumazenil is a benzodiazepine receptor antagonist which is really useful if you're having to treat acute overdose of benzodiazepines.

    01:28 Remember to wean benzodiazepines and all Central Nervous System medications slowly.

    01:34 You don’t wanna abruptly discontinue them otherwise your patient will experience some very uncomfortable withdrawal symptoms.

    01:42 Thank you for watching our video today.


    About the Lecture

    The lecture Sedative Hypnotics: In a Nutshell (Nursing) by Rhonda Lawes is from the course Central Nervous System (CNS) Medications (Nursing).


    Included Quiz Questions

    1. They are safer, with less risk of developing physical dependence, tolerance, or CNS depression.
    2. They are more effective at reducing a client's pain without risking CNS depression.
    3. They are more effective at reducing a client's anxiety and do not risk CNS depression.
    4. They work well at reducing both anxiety and pain.

    Author of lecture Sedative Hypnotics: In a Nutshell (Nursing)

     Rhonda Lawes

    Rhonda Lawes


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