Lets Learn Benzos Flashcards

(28 cards)

1
Q

Name as many benzodiazepines you can say

A

Diazepam
Chlordiazepoxide
Clobazam
Lorazepam
Temazapam
Oxazepam
Midazolam

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2
Q

what are benzos often used for

A

anxiety
spasm
sedation

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3
Q

What are the long acting benzos

A

Diazepam
Chlordiazepoxide
Clobazam

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4
Q

What are the short acting benzos

A

temazepam
oxazepam
midazolam

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5
Q

what is an example of an intermediate benzo

A

lorazepam

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6
Q

what is the duration of action of diazepam

A

long

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7
Q

what is the duration of action of lorazepam

A

intermediate

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8
Q

what is the duration of action of chlordiazepoxide

A

long

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9
Q

what is the duration of action of midazolam

A

short

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10
Q

what is the duration of action of oxazepam

A

short

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11
Q

what is the duration of action of temazepam

A

short

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12
Q

what is the duration of action of clobazam

A

long

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13
Q

if a patient has mild anxiety symptoms should we use benzos

A

no

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14
Q

if a patient is in mourning and wants benzos are they appropriate

A

not really since it can only help the physical symptoms

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15
Q

if a patient has hepatic impairment and is elderly what type of benzo is most appropriate

A

short acting e.g.

temazepam
oxazepam
midazolam

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16
Q

what symptoms can happen if we withdraw benzos abbruptly

A

confusion
toxic psychosis
convulsions

17
Q

what are the main side effects of benzos (theres a lot)

A

dependence
ataxia
fatigue
gi
muscle weakness
tremor

18
Q

what are the short half life benzos that should be used in hepatic impairment

A

lormetazepam
loprazolam
alprazolam
temazepam
midazolam

19
Q

what are the contraindications of benzos

A

acute pulmonary insufficiency
unstable myasthenia gravis
sleep apnoea

20
Q

what are the cautions of benzos

A

avoid prolonged
avoid abrupt
pts with drug and alcohol dependence
pts who experience paradoxical effect (opposite of the usual)

21
Q

what is the advice that we should provide to patients before we hand out

A

can make drowsy and that the effects are increased by alcohol

22
Q

what are the symptoms of benzo withdrawal syndrome

A

insomnia
night sweats
anxiety
loss of appetite
body weight
tremor
tinnitus

23
Q

how long can benzo withdrawal syndrome last for

A

weeks or months

24
Q

if a pt is on a short acting benzo when are they most likely to experience withdrawal

A

first couple of days

25
how long up to can benzo withdrawal syndrome begin
up to 3 weeks after stopping
26
if a pt is on short term benzos and wants to be weaned off when do we do this
2-4 weeks
27
for a patient on long term benzo treatment how can we wean them off
transfer to diazepam and reduce dose by 1-2 mg every 2-4 weeks until they completely stop
28