Pharm study 4 - Chapter 53 Insomnia o Not being able to go...

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Chapter 53 Insomnia o Not being able to go to sleep or stay asleep long enough to feel rested o Chronic if it lasts longer than 1 month o Adequate sleep is 7-8hours per night o Patient with insomnia have increased brain arousal and high day and night temps. o High rates of depression and anxiety o Causes of Insomnia Medical disorders Chronic pain Fibro myalgia Movement disorders HA Psychiatric conditions Substance abuse Environmental factors Light and noise Temperature Bad mattress Stress related factors New job Life events Deadlines People Medications Antidepressants Herbal OTC Caffeine Beta blockers o Types of insomnia Sleep onset Takes more than 30 mins to fall asleep Sleep maintenance Awake frequently Sleep offset Premature wakefulness Non restorative Day time sleepiness after full night of sleep o Treatment Anxiolytic agents
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Don’t stop abruptly because of withdrawal and rebound insomnia Benzodiazepines o Diazepam (Valiuum) Antidote FLUMAZENIL Use Sedative (anesthesia) Agitation Anxiety Anticonvulsant (seizures) Muscle spasms Etoh withdrawal Insomnia
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