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Psychiatry NP

Info & Q: NP EXAM

QuestionAnswer
What controls mood? Monoamine System 1. norepinephrine 2. serotonin 3. dopamine
Which neurotransmitter allows you to go ahhhhh yes (feeling of joy after turning in all the papers) at the end of the semester? serotonin
Which neurotransmitter makes it possible for you to sleep at night? serotonin
Which neurotransmitter makes you excitable, motivated? 1. norepinephrine 2. dopamine
When you put dopamine into a bag and infuse it into your pt what happens to his HR, BP and renal perfusion? They all go UP
Serotonin decreases impulsivity, so a pt with obsessive compulsive disorder we should load them up on which drugs? SSRIs (antidepressants) 1. celexa 2. lexapro 3. paxil 4. prozac 5. zoloft
What is the biggest complaint with giving an SSRI? decrease libido
What is a SE from SSRI in pt that is compliant with their meds? weight gain because it constantly knocks on the appetite center in your brain saying GO AHEAD and eat another brownie
Which neurotransmitter increases concentration, motivation and vigilance? norepinephrine and dopamine
Commercial for Stratera to tx ADD shows how it allows more of this to hang around instead of being reuptaken thereby increasing concentration. norepinephrine because it is an SNRI
Stressful situations bring on depression which we might understand as a decreased level of these neurotransmitters? 1. serotonin 2. norepinephrine 3. dopamine
Stressful situations cause your pts to eat up neurotransmitters faster than they can produce them, True or False? True
A positive correlation with depression is when a pt states that they have felt depressed or disinterested over how long of time? 2 weeks
The first drug of choice to treat depression includes any AD EXCEPT? MAOI
SSRI cause increase availability of serotonin and then in 6 to 8 weeks there is more of these available? 1. norepinephrine 2. dopamine
SSRIs are commonly used to treat depression and other disorders; Name the DO and some SSRIs? A. Dysthymia-OCD-Anxiety 1. celexa 2. lexapro 3. paxil 4. prozac 5. zoloft
For a pt with increased anxiety wouldn't it be nice to give them something that will allow them to go ahhhhhh? SSRI
A common complaint of pt that starts on SSRI is? I can't sleep
What is the action of TCAs? Cause more serotonin and norepinephrine hang around.
What is a common problem with TCAs? Cause pt to be sleepy
What is a common TCA that is used to help pt sleep at night? Trazodone
TCA have several SE: 1. dry mouth 2. heavy tongue 3. urinary retention
We should avoid TCA in this population? Elderly men with enlarged prostate because of the SE urinary retention
A pt c/o Wt gain and decrease sex so doesn't want to take SSRI what do you do? Dopamine antagonist like Wellbutrin
Before Rx a TCA we should obtain an EKG for what reason? R/O any Bradyarrhythmias like 2ndary heart blocks
How much supply of TCA should we give to pt? Smallest amount possible b/c OD will kill them
Name some TCAs: 1. Elavil 2. Sinequan 3. Tofranil 4. Trazodone
Pt with anxiety have what problem with sleep? Trouble falling asleep
Pt with depression has what problem with sleep? Trouble staying asleep
If you suspect pt of heavy alcohol what should the NP do? 1. Cutdown 2. Agitated if asked 3. Guilty feeling for drinking 4. Eyeopener
A pt with bulemia is going to be at what wt? below avg, avg, above avg avg weight
Created by: dprest
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