Nursing 387 part 2
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- author "Hanna "
- tags "Mental health"
- description ""
- fileName "Nursing 387"
- freezingBlueDBID -1.0
- What are somatoform disorder?
- A group of disorders in which physical symptoms suggests a physical disorder with no baseline base.
What is strongly believed to be the cause of somatoform disorders?
- Psychobiological factors
- Mind body interactions
What are somatoform disorders distinct from?
Malingering or factitious disorders ( munchausens)
What is somatization?
The expression of psychological stress through physical symptoms.
Complainta of physical sympotoms that can not be expalined by physiological test
Psychological factors and conflicts seem important in initiating, exacebrating, and maintain ing the disturbance.
Sympotoms not intentionally produced
Inablity to control sympotoms voluntary
What classifies as somatization disorder?
- History of many physical sympotoms
- Four pain symptoms
- 2 GI sympotoms ( dygestive system)
- 1 sexual dysfunction ( reproductive system)
- 1 pseudoneurological sympotoms ( neurological symptoms)
What is conversion disorder?
- A. One or more sympotoms suggests of a neurological disorder
- B. Cannot be expalined by a know neurological or medical disorder
- C. Stress and exacerbation assosciated onset of sympotoms
- D. Moror symptoms: sensory defixot, seizure/convulsion
- A. Pain in one or more site is predominantly focused
- B. It causes distress or disruption in social, occupational, orother functioning
- Psycological factors have significant roles.
What is Hypochoondrasis? How long does it last?
- A. Preoccupation with fear and idea of having a seriouse illness
- B. Misinterpretation of bodily symptoms.
- C. Not of delusional intensity
- D.Cause distress and disruption in functioning
- E. At least 6months
What is body dismorpic disorder?
- Preoccupation with imganery defect in apperance
- Cause distress and disruption in functioning
What are the riak factors for demostic violence?
- Substance abuse
- Economic dependency
- Social isolation
- Extensive stress in the family
What are the theories of demostic violenece?
- Neurological problem
- Social learning or role modeling
- Influence of media
What is labile?
Change, easily altered. Switching from one topic to another
Give example of Affect?
Sad, angry, constricted, flat, blunted, labile, overly reactive
Give exmaples of mood?
Depressed, irratable, anxious, angry, expabsive, euphoric ( intense
Major depressive disorder? How long
- depressive mood or a loss of interest or pleasure nearly all active
- Lasts at least 2weeks
- Impares social/ occupational functioning.
What are the Diagnostic critera for major depressive disorder?
- 4 of the following
- -Disruption of appetite
- -Sleep disturbance
- -Disruption in concentrateion
- -Fatigue or loss of energy
- -Psychomotor agitation or retardation
- -Excessive guilt or feeling of worthlessness
- -Reoccurring thoughts of death or sucide
What is dysthemia?how long
- Less sever form of depression but individual feels it all the time and most of the time
- For 2 years
How long prescribed are antidepressant prescribed for?
4 to 9 months
What are the different classes of drugs?
- 1. MAOI
- 2. SSRI
- 4. Atypical/Novel
When do antidepressant come into effect?
3 to 6 weeks
What do MAOI do? What do you need to be care of?
- Decrease the breakdown of serotonin, epinephrine, and norepinephrine, thereby increasing their concentrations.
- Not often prescribed because of dietary and OTc medication resriction.
When is MAOI used?
Only persribed for treatment of resistant depreasion
What are example MAOI (drug)?
What do you need to moderate when on MAOI?
Chocolates and coffee
What are the dietary restrictions with MAOI?
Cheese ( except cream or cottages), smoked, dried, pickled, cured, or presereved meat and fish, caviar, beans, avocado, yeast extract including beer containg yeast
Medication to avoid when MAOI are...
TCA, prozac, denoral, amphetamine. Pain medications except Ibuprofen, aspirin, acetaminophen
What are the side effects of MAOI?
- Headace, drowsiness, dry mouth and throat, blurred vision, weight loss, postutal hypotension, nausea, agitation, dizziness, constipation
- Hypertensive crisis
- Sudden, severe pounding Headace
- Raising pulse
- Stiff neck
- Chest pain
- Nausea and vomitting
What are examples of TCAs
Amitriptyline, doxepin, clomipramine
What are side effects of TCAs?
Sedation, drowsiness, tachycardia,prolonged Oat, ortiostatic hypotension, weight gain, memory disruption
What happens if TCA is overdose?
What are the examples of SSRI?
Fluoxetine ( prosac) , sertraline, fluvoxamine (Zoloft), paroxetine, citalompram, escitalopam
What is the role of SSRI
Prevents the reuptake of serotonin in the synaptic cleft (leaving more seritonin avaliable at the receptor sites)
What are examples if novel agents ?
- Efexor (venlafaxine)
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