antidepressants
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Antimanics are used in the treatment of | mood disorders
🗑
|
||||
| Lithium is the most commonly used drug for the treatment of | mania
🗑
|
||||
| Lithium is an element that is similar in chemical properties | to sodium
🗑
|
||||
| Sodium is required for | conduction of nerve impulses, but lithium interferes with nerve conduction.
🗑
|
||||
| Sodium range: | 135-145
🗑
|
||||
| lithium works to ____ the reuptake of NE and Dop. | increase
🗑
|
||||
| Lithium takes how many weeks to fully work? | 1-2 wks
🗑
|
||||
| Adequate sodium intake is necessary for proper... | urinary excretion of lith.
🗑
|
||||
| therapeutic blood levels range | 0.5 to 1.5 mEq/L
🗑
|
||||
| lithium maintenance dose: | 900-1200mg/day
🗑
|
||||
| lithium drug interactions: | haldol, diuretics
🗑
|
||||
| MOOD STABILIZERS:second best choice in the treatment of mania | are anticonvulsants
🗑
|
||||
| examples of anticonvulsants: | Depakote, GABApentin, Carbamazepine
🗑
|
||||
| 3rd best choice: | Propranolol
🗑
|
||||
| Propranolol nursing considerations | do not give if pulse is below 60
🗑
|
||||
| exogenous | reactive depression-caused by external factors death or unemployment, loss
🗑
|
||||
| endogenous | caused by internal factors. Nobody ever has. Hard to diagnose. Chemical imbalance neurotransmitters. Can last for a long time. Postpartum. Get under control.
🗑
|
||||
| What is the role of serotonin? | moods, arousal levels, appetite, sleep disturbances (endogenous depression) main one have to restore
🗑
|
||||
| role of NE? | NE- cardiovascular system, fight or flight, moods
🗑
|
||||
| Drugs that can increase the level of norepinephrine or serotonin in the brain are useful in the treatment | OF DEPRESSION
🗑
|
||||
| antidepressants take | about 2 to 4 weeks to work fully in the body.
🗑
|
||||
| Monoamine Oxidase Inhibitors (MAOIs) | an enzyme found in most body cells.break down norepinephrine and serotonin
🗑
|
||||
| Why is this bad in relation to depression? | We need Serotonin and NE to increase
🗑
|
||||
| Tyramine can produce a massive release of NE, which can result in | hypertensive crisis or cerebral stroke.
🗑
|
||||
| Which foods must one avoid? | Ginseng, chocolate, beer, cheese, pickles, olives, wine and avocado
🗑
|
||||
| Side effects and adverse effects of MAOI: | dry mouth, urinary ret, constipation, blurred vision, hypotension, weight gain, and sex dysfunction. can produce liver damage.
🗑
|
||||
| Phenylzine (Nardil) | MAOI
🗑
|
||||
| Tricyclic Antidepressants or (TCAs) | block the reuptake of norepinephrine and serotonin.
🗑
|
||||
| anticholinergic sx: | dry mouth, constipation, urinary ret, tachycardia, and hypertension.
🗑
|
||||
| TCAs: | Nortriptyline (Aventyl)
Amitriptyline (Elavil)
Doxepin (Sinequan)
Imipramine (Tofranil)
🗑
|
||||
| Selective Serotonin Reuptake Inhibitors (SSRIs) | block the reuptake and inactivation of serotonin in the brain.
🗑
|
||||
| Sertraline (Zoloft) | dosage: 50-200mgPO
🗑
|
||||
| Fluoxetine (Prozac) | dosage: 20-40mgPO
🗑
|
||||
| Prozac does not mix well | anticoagulants and benzodiazepines (Xanax).
🗑
|
||||
| Prozac is also effective in the treatment | OCD
🗑
|
||||
| Side and Adverse effects of (SSRIs): | nausea, diarrhea, dry mouth, anorexia, and GI disturbances.
🗑
|
||||
| Adverse effects OF SSRIs | 1) Weight loss 2) Insomnia 3) Tremors
4) Nervousness
🗑
|
||||
| Second group of SSRIs are the atypicals. | Bupropion (Wellbutrin) & Venlafaxine (Effexor)
🗑
|
||||
| atypical SSRI Duloxetine (Cymbalata) | If you have depression, diabetic neuropathy pain, fibromyalgia, generalized anxiety disorder, or chronic pain, a healthcare provider may prescribe:
🗑
|
||||
| TCAs may also produce effects in | heart and liver
🗑
|
||||
| TCAs are safer comapred to... | MAOIs
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Brittneegarza
Popular Nursing sets