Ati Predictor Meds To Tx Depression

Front 1

What are the predominant SE of tricyclic antidepressants?

Back 1

-sedation
-dry mouth
-blurred vision
-urinary retention
-delayed micturition
-dizziness
-fainting
-->other SE:
confusion, disturbed concentration, weight gain, constipation

Front 2

When a clt has a med SE of orthostatic hypotension, what are some nrsg interventions/clt education that must take place to keep the clt safe?

Back 2

-instruct clts baout the ssx of postural hypotension (lightheadedness, dizziness)
-if lightheadedness or dizziness occurs, advise the clt to sit or lie down
-orthostatic hypotension can be minimized by getting up slowly

Front 3

What are some nrsg interventions/clt teaching when a clt is experiencing anticholinergic effects.

Back 3

-teach clt to monitor HR & report noteworthy increases
-advise the clt to notify MD if ssx are intolerable
-teach ssx of anticholingeric effects
-ways to minimize anticholinergic effects:
--chew sugarless gum
--eat foods high in fiber
--increase water intake to at least 8-10 glasses/day

Front 4

What are some ssx of anticholingeric effects?

Back 4

-dry mouth
-blurred vision
-photophobia
-acute urinary retention
-constipation
-tachycardia

Front 5

What should the RN do when the medication that is admisitered has the potential to cause cardiac toxicity at excessive dosing?

Back 5

-obtain the clts baseline ECG & monitor during tx

Front 6

What are some nrsg interventions/clt teaching when a med makes a clt sedated or extremely drowsy?

Back 6

-sedation usually diminishes over time
-advise clts to avoid hazardous activities such as driving if sedation is excessive
-advise the clt to take med at bedtime to minimize day time sleepiness & to promote sleep

Front 7

What should the RN do to prevent a med's SE of toxicity?

Back 7

-give clts who are acutly ill a 1-wk supply of the med
-monitor the clt for ssx of toxicity (dysrhythmias, mental confusion, & agitation, followed by seizures, & coma)
-Notify the MD is ssx of toxicity occur