Term
| VI Class of Antidepressants A-Typical |
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Definition
Don't fit in any other class
*Most important- Well butrin (If meds pooped out or if Zoloft pooped out). Benifit is No drying and NO SEXUAL SIDE AFFECTS. |
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Term
| 1st Episode of Depression V's 2nd Episode |
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Definition
1st)Put on meds for 4 - 6 months and then take off.
2nd) Stay on meds due to kindling |
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Term
| V Class Antidepressants SSNRI (Selective Se3ritonin Norephinephrin Re-uptake Inhibitor. |
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Definition
- Blocks re-uptake of serotonin and norephinepherin.
- Pt needing this is in pain, cant sleep, depressed, and/or might have cancer
-Cymbalta hs dose-non addictive good combo with...
-Lyrica (Not an antidepressant >preGABA
-Zoloft takes 3 weeks to be therapeutic
-Low Klonopin . for immediate relief (PRN) |
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Term
| IV Antidepressant SNRI Selective Norephinephrin Re-uptake Inhibitor |
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Definition
-Effexor
-Prestizue
-Remeron
Good for patients with substance abuse hx if they need a little Jump |
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Term
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Definition
SNRI
Dirty drug with dirty side effects, pt will go through withdraws if not taken in a timely manor. |
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Term
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Definition
Effexor lite
SNRI
Not as many side effects as Effexor
Good for a patient with a substance abuse hx or if need a little jump |
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Term
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Definition
HS Dose med that helps with rem sleep
*Weight gain |
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Term
| III Class (generation) Antidepressant SSRI (Selective Serotonin Reuptake Inhibitor) |
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Definition
-Block the re-uptake of seritonin. This re-uptake action increases the amount of serotonin available for use.
-Prozac and Selexa
-Zoloft and Paxil
--Lexapro |
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Term
|
Definition
SSRI
Modulates (no poop out)
NOT lethal
If pt doesn't respond try SNRI Prestiq |
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Term
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Definition
SSRI
Activating
Poop-Out due to receptor change |
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Term
| What might be prescribed for a patient on chemo to slow down the metabolism of the chemotherapy? |
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Definition
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Term
|
Definition
SSRI
Not as activating but are also anti-anxiety.
Prophalactically prescribed for CBAG Surgery
*Problem is poop out due to receptor change. |
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Term
II Class of Antidepressants
Trycyclics |
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Definition
-Given at HS
*Cardiotoxic **Lethal OD**
-antidepressants affect
-sedative affect (not transetory)
-PAIN GAITING
-Will see a lot of geriatrics on a low dose at HS
- Sinequan
-Tofranil (PM)
-Pamelor
-Elavil
-Trazedone (Desyrel |
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Term
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Definition
Class II Antidepressant
Trycyclic
-Used for itching
-Cardio Toxic
-Given at HS
-Antidepressant affect
-Sedative
-pain gaiti9ng |
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Term
|
Definition
-Class II Antidepressant- Trycyclic
- GREAT SLEEPER
- Too much = 4hr erection (Priapism)
- Non Addictive |
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Term
|
Definition
-Class II Antidepressant Trycyclic
-give at Hs
-Sedative
- Pain Gaiting
- *Side effect, Urinary retention...stops the bladder from contracting/emptying |
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Term
| What pt might still be prescribed an MAOI? |
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Definition
| TRD's (Treatment Resistant Depression). They would use a slow release patch (Parnak). NOT a front line choice. |
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Term
I Antidepressants
MAOI (Mono-amin-oxidaise Inhibitor) |
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Definition
***Cannot eat fermented food=lethal. Because the Tyramine doesn't break down.
-Marplan
-Parnak
-Nardic
***Decreases the breakdown of seritonin, norephinepherine, and Dopamine. Keeping more in the system for use.
**If eats fermented foods will get headache, ^bp, seizure,>stroke. |
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Term
| What groups of people are more likely to be impulsive? |
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Definition
- Teens
- Elderly
- Drug induced
- Manic |
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Term
| What three classes of meds might be given to a client with bipolar manic severe with psychotic features? |
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Definition
- Antidepressant (maybe Geodine)
- Mood stablizer (Loading dose of Depekote
- Benzodiazepine (short term) to help with antipsycotic manic to help sleep. |
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Term
| What is the TX for manic Bipolar? |
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Definition
-Rest/sleep: need a sleeper
-Nutrition (finger foods, Increase calories, increase hydration, limit caffeine, and
-give medication. |
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Term
| Bipolar I (Manic Depressant) |
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Definition
- Any history of mania that is not drug induced
-monitor antidepressants for induced mania (too much antidepressants).
-Go low and slow - especially if there is a hx of alcohol abuse. |
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Term
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Definition
-A distinct period during which mood is abnormally and persistantly elevated, expansive, or irritable, insomnia.
-poor bounderies, intrusive, euphoria
-Less reality orientated (not psycotic)
-Need 3 S&S for one week (cant tolerate mania for too long=exhaustion
-Safety is an issue
-High risk behavior, impulsive. EGOcentonic
-Less reality orientated
-Axis I
**Problem is noncompliance
TX: Lithium is classic bipolar med. |
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Term
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Definition
No documentated mania (most of time are depressed).
-Use anticonvulsants because brain activity on EEG like client is having seizures. Frequent, intense, last long. TX: Antidepressants and anticonvulsants to decrease frequency and intensity and duration. |
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Term
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Definition
Chronic Thought and mood disorder
- Can Tx but must also have antipsycotic to manate thoughts.
TX: is indefinate antipsycotics |
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Term
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Definition
-Psycotic features
-usually petitioined for TX
- Egocentonic= behavior is congruent with what the patient is saying
**Most important Nursing intervention is LIMIT SETTING.
TX: Benzodiazepines (short term)
Antipsycotic (geodine)
Mood stablizers (Depekote..loading). |
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Term
| Limit Settings must be... |
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Definition
-Realistic
-Enforceable
-Appropriate or fair
-Timely |
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Term
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Definition
(in bipolar) Psycosis- unsafe high risk, gampling, behavior, drugs, acting out, violating rules, sexually, threatening people (due to impulsiveness), spending money.
TX: Antipsycotics and mood stabilizers |
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Term
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Definition
-Decreased serotonin in brain affecting mood.
-Decreased norephinephron in spinal cord affecting somatic pain receptors. |
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Term
| What is the treatment for Major depression? |
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Definition
| SSRI for mood to increase serotonin or SNRI (Cymbalta). Will need antidepressant and cognitive therapy. Meds take 2-3 weeks to work and are sedating, drying, weight gaining, and cause sexual side affects. |
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Term
| How long does a person have Major depression? |
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Definition
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Term
| Why would you not want mania to go longer than one week without treatment? |
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Definition
| Patient could become exhausted, have heart attach and die. |
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Term
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Definition
Not Bipolar
-Sometimes the mood is up and sometimes it's down
-Safety is a concern
-Moody, PMSing, Irritable
-They don't get hospitalized, they just know they're moody. |
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Term
|
Definition
Not Manic, just under mania
-Increased energy, sleep issues (need less sleep). Irritable. Can bounce out.
-Negative reality and negative productivity as mania goes up. |
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Term
| ECT (Electric Convulsive Therapy) |
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Definition
_Bilatereal surfact electrodes are put on the head to induce 3-5 second seizure in Operating Room at a low voltage. This floods the brain with neurotransmitters.
-Treatment is done every other day
-May give the patient Versed to reduce aspiration risk and V
-May give valum to relax the muscles and control seizure.
-pt may be confused and have short term amnesia.
-Nursing action is to re-orientate the pt.
- 8-12 treatments
-Don't make any major decisions for 6 months |
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Term
| TX: for MAJOR DEPRESSION DISORDER |
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Definition
-Desaril (Trazedon) a non addictive sleeper
-Therapy for negative cognitive thinking. "I'm awful, this is not better and not going to get better." "I suck, the world sucks, not going to get better."
-ECT
-add ridelin |
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Term
|
Definition
-non addictive sleeper
-If you overdose on a trycyclic it shuts down the electrical responses |
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Term
| What is found in autopsy report showing a depressed brain? |
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Definition
-low serotonin
-70% of suicide people have low serotonin and a depressed brain. |
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Term
|
Definition
| Conflicted decisions surrounding a reaction to depressed feelings. I wanna die v's I don't want to die |
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Term
Major Depressive Disorder
DYSTHYMIA |
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Definition
-A chronic, persistent mood disorder.
-Must have at least 4 s&s for two weeks or more to be diagnosed and to get treatment.
-depressed mood
-Lasting adhedonia (Lack of Joy)
-Decline in self-care
-Decline in cognition
-Self Harm
-Suicidal ideation
-Social isolation |
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Term
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Definition
| They have unusual/unacceptable behaviors and are self aware and usually seek help. |
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Term
|
Definition
-A chronic persistent mood disorder
-symptoms of insomnia, loss of appetite, decreased energy, low self esteem, difficulty concentrating, feelings of sadness and hopelessness that are milder than those of depression. |
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Term
| S & S of Major Depression Disorder |
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Definition
*Must have 4 s&s for two weeks or greater
-Depressed mood
-Lasting adneonia (Lack of joy)
-Blunted affect
-Decreased self care
-Decreased cofnition
-Risk of Actual self harm
-Suicidal ideation
-Suicidal isolation |
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Term
|
Definition
| Pervasive alterations in emotions that are manifested by depression, mania or both |
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Term
| People with somatic complaints with depression would use what drug? |
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Definition
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Term
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Definition
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Term
| Nursing Interventions for Depression |
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Definition
-Success orientated task
-Gross motor (art therapy)
-Socialization/groups
-A lot of 1:1
-Increase or decrease sleep accordingly
-Increase or decrease nutrition accordingly.
-Increase hydration
-coaching |
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Term
|
Definition
-Labile mood swings
-A bit depressed > tearful, dysphoric, low cognitive functioning
-Sometimes euphoric |
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