- CNS depressants used for insomnia, anxiety, apprehension. Should only be used for short-term therapy.
- May also be used for sedation/anesthesia
- Use lowest dose necessary to achieve desired effects
- Use extreme caution if patient has a history of substance abuse (does benefit outweigh risk?)
- Avoid driving, ETOH
- Use caution in patients at risk for suicide
- For sleep
- Take approximately 30 min before desired effect
- Ensure patient has a full 8 hours available to sleep
- May continue to feel effects after awakening
- Diprivan – prevents REM sleep
- Tolerance may develop; use caution
- Require higher and higher doses
- Watch for overdose, withdrawal
- Should taper down; don’t abruptly D/C
- NMDA Antagonist
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell