NCLEX Review: Sedatives, Hypnotics, & Insomnia Management

This NCLEX exam tutorial will cover sedatives, hypnotics and insomnia management. As you watch, you will learn how to do the following for the NCLEX test: define sedatives and hypnotics, explain how CNS depressants work, describe insomnia and what causes this condition, give examples of benzodiazepines and their side effects, give examples of non-benzodiazepine drugs and explain what they are along with their adverse effects, and go through patient teaching guidelines for sedative-hypnotic drugs. Because you should attempt to treat insomnia with non-drug measures first to promote relaxation and sleep, we will end this video with good sleep habits to beat insomnia.


Sedative Hypnotic Drugs | NCLEX RN Review 2018
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NCLEX Sedatives, Hypnotics, & Insomnia Management Infographic

What you need to know about Sedatives, Hypnotics, and Insomnia

Sedatives– drugs that promote relaxation, used for their calming effect to relieve irritability or anxiety


Hypnotics – higher doses of sedatives with the main purpose of inducing sleep


Sedative-hypnotic drugs are central nervous system (CNS) depressants – work by increasing the activity of GABA (gamma-aminobutyric acid), a neurotransmitter in the brain – which results in drowsiness and the ability to maintain sleep


Insomnia – The prolonged difficulty falling asleep or staying asleep long enough to feel rested.


The main drugs used to treat insomnia are benzodiazepines and the nonbenzodiazepine hypnotics.


Benzodiazepines – drugs that cause CNS depression, including excessive sedation, impairment of physical and mental activities, and respiratory depression

  • Flurazepam (Dalmane)
  • Temazepam (Restoril)
  • Triazolam (Halcion)
  • Quazepam (Doral)

Flumazenil (Romazicon) – antidote for benzodiazepines that reverses toxicity


Nonbenzodiazepine drugs are also used as sedative-hypnotic agents.

  • Chloral hydrate
  • Eszopiclone (Lunesta)
  • Zaleplon (Sonata)
  • Ramelteon (Rozerem)
  • Zolpidem (Ambien)

Patient teaching guidelines for sedative-hypnotic drugs…

  • Not to be taken every night – most lose effectiveness after 4 weeks of daily use
  • If drowsy from medication, do not perform tasks that require alertness, such as driving or operating machinery. Routine activities can be potentially hazardous.
  • Avoid alcohol and other depressant drugs – may lead to excessive drowsiness, difficulty breathing, traumatic injuries, and other potential adverse effects.


  • NCLEX Questions


Provided by: Mometrix Test Preparation

Last updated: 01/10/2018

 

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