A patient reports awakening at 1 AM after only 2 hours of sleep ...

[jlmhmf]

A patient reports awakening at 1 AM after only 2 hours of sleep and is unable to return to sleep for several hours.
 
  The patient is becoming increasingly anxious and requests a sleeping medication that will not cause a hangover. The nurse would anticipate the prescriber to order which one of the following drugs?
  a. Zolpidem (Ambien)
  b. Zaleplon (Sonata)
  c. Flurazepam (Dalmane)
  d. Trazodone (Desyrel)

Question 2

A patient taking fluoxetine (Prozac) complains of insomnia. The nurse reports the patient's complaint to the prescriber and should anticipate that which of the following medications would be ordered?
 
  a. Trazodone (Desyrel)
  b. Ramelteon (Rozerem)
  c. Diphenhydramine (Nytol)
  d. Zolpidem (Ambien)

[honnalora]

Answer to Question 1

ANS: B
Zaleplon does not produce next day sedation or a hangover feeling and therefore would be the expected medication for the prescriber to order.
Zolpidem, flurazepam, and trazodone may cause next day sedation and/or a hangover feeling and therefore would not be appropriate for this patient.

Answer to Question 2

ANS: A
Trazodone is especially useful for treating insomnia resulting from the use of antidepressants that cause significant central nervous system stimulation.
Ramelteon is indicated for long-term therapy of insomnia.
Diphenhydramine and zolpidem are not indicated for antidepressant insomnia.

[jlmhmf]

Excellent

[xiazhe]

Gracias!