Which medication would a nurse expect to be prescribed for a one-time dose for a client diagnosed with an acute panic attack?

The medication that would be expected for a one-time dose for a client experiencing an acute panic attack is often a benzodiazepine due to its rapid onset of action and effectiveness in relieving acute anxiety symptoms. Diazepam, in particular, is a benzodiazepine that can provide quick relief from symptoms of anxiety, including during a panic attack. It works by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA) in the brain, producing a calming effect.

While some of the other medications listed, such as fluoxetine and sertraline, are selective serotonin reuptake inhibitors (SSRIs) typically used for long-term management of anxiety and depression, they generally do not act quickly enough to help during an acute panic attack. These medications take several weeks to build up in the system and are not suitable for immediate relief. Alprazolam is also a benzodiazepine like diazepam, and it is commonly used for acute anxiety and panic; however, diazepam is often favored for its longer duration and versatility in various acute situations.

Thus, the choice of diazepam reflects an understanding that during an acute panic attack, immediate intervention is crucial, and a medication that can provide rapid relief