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buspirone

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ACTIVE LEARNING TEMPLATE:
Medication
Zhejun Xuan
STUDENT NAME______________________________________
buspirone
MEDICATION___________________________________________________________________________
2
REVIEW MODULE CHAPTER__week
__________
CATEGORY CLASS__anxiolytics
_____________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action
Binds to serotonin and dopamine receptors
in the brain, increases norepinephrine
metabolism in the brain
Therapeutic Use
Used to decrease anxiety associated with
anxiety disorders and the frequency of panic
attacks
Complications
dizziness, drowsiness, headache, nervousness, insomnia,
light-headedness, fatigue, numbness, excitement,
confusion, depression, anger, decreased concentration,
paresthesia, incoordination, tremor, hostility.
Contraindications/Precautions
Hypersensitivity, severe hepatic/renal impairment,
concurrent use of MAOIs, breastfeeding
Interactions
Rifampin, dexamethasone, phenytoin, phenobarbital,
carbamazepine, nefazodone, ketoconazole,
itraconazole, ritonavir, erythromycin, MAOIs, grapefruit
juice, Kava Kava, valerian, chamomile, alcoho
Medication Administration
Adult: PO 7.5–15 mg/d in
divided doses, may increase by
5 mg/d q2–3d as needed (max:
60 mg/d)
Geriatric: PO 5 mg b.i.d., may
increase to max 60 mg/d
Nursing Interventions
Assess degree and manifestations of
anxiety
Buspirone does not appear to cause
physical or psychological dependence Do
not confuse buspirone with bupropion
PO May be administered with food to
minimize gastric irritation.
Food slows but does not alter extent of
absorption
Client Education
Evaluation of Medication Effectiveness
Decrease anxiety levels; frequency of panic attacks
ACTIVE LEARNING TEMPLATES
Patients changing from other
antianxiety agents should receive
gradually decreasing doses
Advise patient to avoid concurrent use
of alcohol or other CNS depressants
Notify health care professional if any
chronic abnormal movements occur
Consult provider if you paln to become
pregnant or are pregnant
Therapeutic Procedure
A7
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