CHAPTER 12 Mental Health^455
- Monitor for respiratory depression or decrease in blood pressure.
- Have benzodiazepine antagonist (flumazenil) on hand to reverse effect if
needed. - Administer antidepressants:
- selective serotonin reuptake inhibitors—paroxetine
- selective serotonin and norepinephrine reuptake inhibitors—venlafaxine
- tricyclics
- Administer buspirone.
- Administer beta-blockers for symptom control.
- Psychotherapy.
- Cognitive-behavioral therapy.
- Relaxation techniques such as biofeedback.
- Desensitization—repeated exposures to graded doses of the object or situa-
tion that produces the anxiety. - Group therapy.
- Family therapy.
- Emotive therapy.
NURSING DIAGNOSIS
- Sleep pattern disturbance
- Anxiety
- Fear
- Impaired social interaction
- Ineffective role performance
NURSING INTERVENTION
- Monitor medication intake.
- Discuss patient response to therapy.
- Monitor vital signs, watch for elevation in blood pressure with some
medications.