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39 Cards in this Set
- Front
- Back
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Reactive depression
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response to real stimuli such as physical illness, loss of a job, death of a loved one, divorce, or financial difficulties
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Endogenous depression
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major depression, probably a genetically linked biochemical disorder
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Dysthymia
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chronically depressed mood or loss of interest in usual activities that is not severe enough or does not last long enough to meet criteria for major depression
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MAOIs
indications for use |
Treatment of atypical or neurotic depression, agoraphobia
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MAOIs
adverse effects |
Anticholinergic effects, excessive CNS depression, hepatic toxicity, dry mouth, blurred vision,urinary retention, constipation
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MAOIs
Nursing concerns |
tyramine-rich foods and certain drugs cause hypertensive crisis. Don't discontinue abruptly.
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MAOIs
foods to be avoided |
aged cheese, alcoholic beverage, avocados, and guacamole, bananas, caffeine beverages, chocolate in large amounts, raisins, sour cream, soy sauce, and yogurt.
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MAOIs
drugs to be avoided |
amphetamines, antihistamines, decongestants, TCAs, demerol, and SSRIs
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Phenelzine sulfate (Nardil)
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MAOIs
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Isocarboxazid (Marplan)
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MAOIs
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Tranylcypromine Sulfate (Parnate)
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MAOIs
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Why are Tricyclic antidepressants a better choice then MAOIs?
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because they have fewer side effects.
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Tricyclic Antidepressants
indications for use |
major depression, enuresis
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Tricyclic Antidepressants
Side Effects |
anticholinergic effects, orthostatic hypotension, arrhythmias, impotence. in OD fatal ventricular arrhythmias can occur.
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Tricyclic Antidepressants
Contraindications |
allergy, caution with heart disease, asthma, schizophrenia, bipolar disorder, narrow angle glaucoma, prostatic hypertrophy, or urinary retention.
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Tricyclic Antidepressants
Nursing Concerns |
in children and elderly, perform ECG first
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Tricyclic Antidepressants
teaching measures |
for dry mouth: sip water, suck on lemon drops, sugar free candy, increase fluids and fiber for constipation
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Imipramine hydrochloride (Tofranil)
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Tricyclic Antidepressants
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Amitriptyline hydrochloride (Elavil)
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Tricyclic Antidepressants
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Clomipramine (Anafranil)
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Tricyclic Antidepressants
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Doxepin hydrochloride (sinequan)
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Tricyclic Antidepressants
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Nortriptyline hydrochloride (Pamelor)
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Tricyclic Antidepressants
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SSRIs
indications for use |
depression, OCD, bulimia, PMS, preventing HA, GAD, PTSD
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SSRIs
contraindications |
allergy, caution with renal or hepatic dysfunction or history of seizures,
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SSRI
nursing concern |
do not give within 2 weeks of MAOIs, potentially fatal reaction can occur. if dose is missed, return to regular dosing schedule , do not double doses.
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SSRI
Nursing concerns |
go to ER if symptoms of serotonin syndrome occur, prozac should be discontinued at least 5 weeks before starting MAOI
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Fluxetine hydrochloride (prozac)
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SSRI
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Paroxetine hydrochloride (Paxil)
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SSRI
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Citalopram(celexa)
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SSRI
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Fluvox (Luvox)
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SSRI
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Escitalopram (Lexapro)
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SSRI
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Wellbutrin
Nursing concerns |
equally space dose through the day to decrease risk of seizures, low sexual risk of sexual SE,
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Wellbutrin
contraindications |
bulimia, anorexia, seizure disorders, MAOI therapy
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Which antidepressant is not addicting?
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Trazodone Hydrochloride (Desyrel)
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Which drug can cause serotonin storm?
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Sibutramine (Meridia)
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Mood stabilizers
Nursing Concern |
lithium blood levels must be monitored to prevent toxicity, monitor PT for fatigue, and weight gain, watch electrolyte level.
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Which mood stabilizer has a narrow therapeutic window?
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Lithium (Eskalith)
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Which mood stabilizer is the best choice during pregnancy?
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Lamotigine (Lamictal)
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dropout rate in one year maintenance studies?
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65-70%
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