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Psych 2.5

QuestionAnswer
What is poverty of thought? Responses may be slow or absent, you may have to repeat questions or comments in order to prompt the patient for a response.
Questions to ask a patient with SI? Ask if patient has thought about killing themself, ask if they have a plan, and if they dont, ask how they would do it. Ask about any past attempts.
What is the main depression screening tool? PHQ-9
Acute phase of depression lasts 6-12 weeks,
Name the SSRIs fluoxetine, setraline, paroxetine, citalopram escitalopram, fluoxamine
What are the symptoms of SSRI Nausea, anorexia, sexual side effects.
Serotonin Syndrome sx Tachycardia, HTN, fever, delirium, myoclonus
SNRI (Serotonin Norepinephrine reuptake inhibitors) name them venlafaxine, desvenlafaxine, and duloxetine.
SNRI's side effects Increased sweating, increased BP and pulse.
SNRI's or SSRIS which ones are better SSRI's
TCA names Amitriptyline and imipromine
Are TCAs commonly used? TCAs are not commonly used, and may cause confusion in the elderly.
What do TCAs do? Blocks serotonin and norepinephrine reuptake. May relieve neuropathic pain
MAOI names Phenelzine, isocarboxazid, tranylcypromine, and selogeline
What are some ground rules for MAOIs can not give within 2 weeks of other antidepressant meds, last line treatment. No tyramine, can cause HTN crisis
SARI (Serotonin antagonist and reuptake inhibitor) names, sx Trazadone, can cause priapism (prolonged erection), and is a hypnotic.
NDRIs names Bupropion
Can you take NDRIs with other antidepressants? What are NDRIs contraindicated in? You can take NDRIs with SSRIs, contraindicated in patients with seizures because it lowers the seizure threshold.
NaSSA ( noradrenergic and specific serotonergic antidepressant) names and function Mirtazapine - Appetite stimulant, sedative, enhances transmission of norephinephrine and serotonin.
Name the tyramine rich foods Aged cheeses, cured or processed meats, pickled or fermented vegetables, citrus and tropical fruits, alcohol.
What is the first and only FDA approved med for post partum depression Brexanolone
Esketamine is defined as a(n) NMDA receptor agonist.
St johns wort function Thought to increase serotonin, norepinephrine, and dopamine. Useful in mild-moderate depression
 

 



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