Depression MEds

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Author:
britsands
ID:
171242
Filename:
Depression MEds
Updated:
2012-09-17 12:17:34
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Psych exam
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Psych exam
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  1. Amitiptyline
    Tricyclics
  2. Norpramin
    Tricyclic
  3. Tofranil
    Tricyclic
  4. Lexapro
    ssri
  5. prozac, sarafem
    ssri
  6. paxil
    ssri
  7. zoloft
    ssri
  8. Nardil
    Maoi
  9. Parnate
    Maoi
  10. Wellbutrin
    • hereterocyclies
    • he said to be considered as ssri
  11. pristiq
    • snri
    • he said to be considered as ssri
  12. Blurred vision
    constipation
    urinary retention
    orthostatic hypotension
    reduction of seziure threshold
    tachycardia
    arrhythmias
    photosensitivity
    weight gain

    All are most common in what groups?
    Tricyclics and heterocyclics
  13. Insomnia
    agitation
    headache
    weight loss
    sexual dysfunction
    serotonin syndrome

    Are most common in what groups?
    SSRIs and SNRIs
  14. Side effect most common with MAOIs
    Hypertensive crisis
  15. What should you tell patient with blurred vision from tricyclics and heterocyclics
    • Clears in 1-2 weeks\
    • dont drive
    • clear walkways
  16. What should you know with reduction of seizure threshold for tricyclics and heterocyclics
    • Observe patients with history closely
    • Wellbutrin should be administerd in doses of no more than 150mg  and should be given at least 4 hours apart.
  17. What should you tell patients about weight changes in patients on tricyclics and heterocyclics ?
    • Weight gain
    • provide instructions for reduced- calorie diet
    • increased physical activity if appropriate
  18. Symptoms for serotonin syndrome
    • changes in mental status
    • reslessness
    • myoclonus
    • hyperreflexia
    • tachcardia
    • labile bp
    • diaphoresis
    • shivering
    • tremors
  19. What should you expect for patient to be perscribed if experiance serotonin syndrome?
    • immediately stop offending agent
    • block serotonin receptors
    • histamine-1 receptor antagonist Cyproheptadine
  20. things to do if patient is having serotonin syndrome?
    • vs
    • safety measure for muscle ridgity
    • cooling blankets and tempid baths
    • I&Os
  21. Symptoms of hypertensive crisis
    • severe occipital headache
    • palpitations
    • n&v
    • nuchal rigidity
    • fever
    • sweating
    • marked increase in bp
    • chest pain
    • coma
  22. Nursing implications for hypertensive crisis
    • discont drug immediatley
    • vs
    • administering short acting antihypertensive med as ordered
    • using external cooling measures to control hyperprexia
  23. Foods high in tyramine AVOID
    • Aged cheeses (chedder, swiss, blue, camembert,parmesan, provolone, romano, brie)
    • Raisins, fava beans, flat italian beans, chinese pea pods
    • red wines
    • smoked and processed meats (salami, bologna, pepperoni, summer sausage)
    • Caviar, picked herring, corned beef, chicken and beef liver
    • Soy sauce. brewer's yeast, meat tenderizer (MSG)
  24. Foods moderate tyramine (May eat occasionally while on MAOI)
    • gouda cheese, processed american, mozzerella
    • yogurt, sour cream
    • avacados bannanas
    • beer white wine coffe colas tea hot chocolate
    • meat extracts such as bouillion
    • chocolate
  25. Low tyramine content ( limited quantites permissible)
    • pasteurized cheeses ( cream cheese, cottage cheese, ricotta)
    • figs
    • distilled spirits (in moderation)
  26. Lifes everyday dissapointments
    Affective
    Behavioral
    cognitive
    physiological
    • Transient Depression
    • the "blues"
    • some crying
    • some difficulty getting mind off one's disappointment
    • feeling tired and listless
  27. Normal grief response
    affective
    behavioral
    cognitive
    physiological
    • Mild depression
    • anger anxiety sadness denial guilt helplessness
    • tearful, regression, agitation, withdrawl, restlessness
    • preoccupied with loss, self blame and blaming others
    • anorexia or overeating, sleep disturbances, somatic symptoms
  28. Associated with dysthymic disorder
    affective
    behavioral
    cognitive
    physiological
    • Helpless powerless saddness gloomy and pessimistic difficultly experiancing pleasure in activites
    • slow physical movements slumped posture limmited verbalization social isolation with focus on self, self destructive attitude,
    • retarded thinking processes, difficulting with concentration, verbalization and behavior reflecting suicidal ideation
    • aorexia, overeating sleep disturbances somatic symtos feeling best early in the morning and worse as the day progresses, amenorria, pain in head back chest abdomin
  29. Major depressive disorder or bipolar depression
    affective
    behavioral
    cognitive
    physiological
    • Severe depression
    • feeling of total despair, worthlessness, flat affect, apathy, anhedonia
    • psychomotor retardation, curled up postition, not interaction with others, virtually nonexistant communitcation
    • prevalent delusional thinking with delusions of persecution and somatic delusions, unable to concentrate, confusion, hallucinations refelecting miss interpretations of the environment, self blame and suicidal thoughts
    • a general slow-down of entire body , anorexia, insomnia, feels worse early in the morning and somewhat better as the day progresses

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