Term
|
Definition
Elavil
Norpramin
Tofranil
Aventyl
Vivactil
Ludiomil |
|
|
Term
| Tricyclics treat which disorders? |
|
Definition
|
|
Term
| Nursing implications for Tricyclics? |
|
Definition
Admin at HS (avoid sedation & ETOH)
2-6 wks for therapeutic effects
Do not take w/ MAOIs (Hypertensive crisis)
Evaluate for suicide risk |
|
|
Term
|
Definition
|
|
Term
| MAOIs treat which disorders? |
|
Definition
|
|
Term
| Nursing implications for MAOIs? |
|
Definition
Avoid tricyclics (hypertensive crisis)
Dietary restriction (Avoid food high in tyramine) |
|
|
Term
| What all is include int he dietary restrictions? |
|
Definition
| Cheese, red wine, beef, beer, chicken, liver, yeast, yogurt, soy sauce, chocolate, bananas |
|
|
Term
| What are the s/s of a hypertensive crisis? |
|
Definition
| severe hypertension, severe headache, chest pain, fever, sweating, nausea & vomiting. |
|
|
Term
|
Definition
Prozac
Paxil
Zoloft
Luvox
Celexa
Lexapro |
|
|
Term
| What disorders do SSRIs treat? |
|
Definition
Depression
Anxiety
Panic disorders
Aggression
Anorexia nervosa
OCD |
|
|
Term
| Nursing implications for SSRIs? |
|
Definition
Avoid MAOIs (Serotonin syndrome)
Effective in 2-4 wks
Taper off |
|
|
Term
| What are the s/s of Serotonin Syndrome? |
|
Definition
Agitation, diarrhea, myoclonus, ataxia, hallucinations, hyperreflexia, fever, diaphoresis, shivering.
Begins 2-72h after initiation.
Tx: discontinue |
|
|
Term
| What OTC meds should be used w/ caustion w/ SSRIs? |
|
Definition
|
|
Term
| Newer/ atypical antidepressants include? |
|
Definition
|
|
Term
| What disorders so atypical antidepressants tx? |
|
Definition
|
|
Term
| Nursing implications for atypical antidepressants? |
|
Definition
effective in 2-4 wks
less side effects than tricyclics and MAOIs |
|
|
Term
|
Definition
|
|
Term
| What disorders do SNRIs tx? |
|
Definition
Depression
Anxiety
Panic disorders
Aggression
Anorexia nervosa
OCD |
|
|
Term
| Nursing implications for SNRIs? |
|
Definition
Avoid MAOIs (hypertensive crisis)
Take baseline BP and monitor: decreases BP
Monitor for worsening off symptoms on initiation of tx |
|
|
Term
| Mood stabilizers include? |
|
Definition
Lithium
Valproic acid
Tegretol
Lamictal |
|
|
Term
| What do mood stabilizers tx? |
|
Definition
| Bipolor disorders or manic-depressive illnesses |
|
|
Term
| Nursing implications for Lithium? |
|
Definition
serum levels 0.5-1.5
monitor thyroid, renal & cardiac status
Salt usage consistent
Avoid diuretics (causes toxicity) |
|
|
Term
|
Definition
Diarrhea
vomiting
drowsiness
muscle weakness
lack of cordination |
|
|
Term
| Nursing implications for Depakene |
|
Definition
|
|
Term
| Nursing implications for Tegretol? |
|
Definition
8-12
Alternative to lithium
STOP if WBC drop below 3000 and neutrophils below 1500
Monitor hepatic and renal function |
|
|
Term
| Nursing implications for Lamictal? |
|
Definition
Starting dose 25-50 initially
Then increase to 200 if taking alone
100 if taking with Valporic acid
400 if taking w/ tegretol |
|
|
Term
| If pt gets a rash while taking Lamictal what should they do? |
|
Definition
| DC immediatly and call Dr ASAP |
|
|
