Flash. Neuro. Barbiturates

Barbiturates are primarily indicated for their sedative, anticonvulsant, and anesthetic effects.

Drowsiness is a common side effect of barbiturates.

Barbiturates can cause respiratory depression, especially in overdose.

Due to their high potential for abuse, dependence, and overdose, the use of barbiturates has decreased in favor of other drugs with a better safety profile.

Patients with a history of drug or alcohol abuse should be closely monitored due to the risk of dependence.

Concurrent use of barbiturates and alcohol can potentiate CNS depression and increase the risk of overdose.

Administering barbiturates without a valid prescription can result in legal penalties, including loss of nursing licensure.

Barbiturates should be stored in a secure location, away from unauthorized access, due to their potential for abuse.

The nurse should monitor the patient's seizure frequency, duration, and any changes in seizure patterns.

Patients should be advised to take the medication exactly as prescribed, avoid alcohol, and never abruptly discontinue the drug without consulting a physician.

Abrupt discontinuation can lead to withdrawal symptoms, which may include tremors, agitation, and seizures.

There is no specific antidote for barbiturate overdose. Treatment is supportive and may include airway management, activated charcoal, and hemodialysis in severe cases.

Elderly patients may be more sensitive to the sedative effects of barbiturates and at higher risk for adverse reactions.

The nurse should assess the patient's level of consciousness, vital signs, and any signs of respiratory depression.

Due to their sedative effects, barbiturates can impair alertness and coordination, increasing the risk of accidents.

Long-term use can lead to physical dependence and tolerance, requiring higher doses for the same therapeutic effect.

The nurse should document the patient's feelings and inform the prescribing physician, as paradoxical reactions, including increased anxiety, can occur.

Diverting medication for personal use can result in criminal charges, fines, and loss of nursing licensure.

Barbiturates can reduce the efficacy of oral contraceptives, increasing the risk of unintended pregnancy.

Patients should be instructed to take the missed dose as soon as remembered unless it's close to the time for the next dose. They should never double the dose.