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20 Cards in this Set
- Front
- Back
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MDD
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depressed mood or anhedonia plus 4 more symptoms during a two week period which represents a change in the previous level of functioning
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vegetative symptoms
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no sleep, no apetite, no libedo, bowel changes
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Dysthymia
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milder, less severe depression, tends to be chronic, at least 2 years in duration with a depressed mood and 2 more symptoms; dont see weight loss and powerlessness
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SSRI's
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first choice, less cardiac, anticholinergic, and sedative effects
Prozac, Zoloft, Paxil, Lexapro |
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Tricyclics
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can kill you if you overdose, SE: anticholinergic, cardiotoxic, fever, confusion, lower seizure threshhold, delusions, hallucination, sedation and weight gain
Elavil, Tofranil, Norpramin |
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Serotonin Syndrome
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confusion, agitation, hypomana, increased reflexes, rigidity, twitching, tremors, abdominal pain, raised BP and pulse, diaphoresis, high fever and incoordiantion, coma , seizures
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drugs for ECT
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Brevital (short acting barb)
Succinycholine (SM relax) Atropine |
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Post op ECT
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Headache, confusion, increase in BP and P, memory loss, agitated
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Nursing Interventions for depressed pt
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communication: simple, promote expression of feeling, instill hope, praise efforts
brief frequent interactions suicide precautions; encourage part in group but dont force; refute irrational thoughts |
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suicide risk factors
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antidepressants, co-occuring mental\medical illness, recent loss, adolescent, >65, previous SA
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bipolar
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shifts in mood, energy, and ability to function; tends to be chronic and recurrent; considered eccentric, high spirited, tempermental and mood swings
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bipolar 1
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one episode of mania alternating with major depression
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bipolar II
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hypomanic episodes alternating with major depression
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rapid cycling
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4 or more manic episodes for at least 2 weeks in a 12 month period
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Mixed\dysphoric mania
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assoc with substance abuse
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cyclothymia
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hypomanic episodes alternating with minor depression for 2 years
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kindling
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brain requires less and less stimuli in order to have a manic or depressed episode, important to take meds; harder to get them back and stabilized
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Manic Episode
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period of abnormal and persistent elevated, expansive, or irritable mood for at least 1 week, and 3 or more SS
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hypomania
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meets manic criteria but severity and duration is less; hypertalkative, distractable, very social, inaprop intamacy with stragners, >self confidence, low sleep, HIGH APPETITE, get rich quick schemes
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Mood Stabilizers, meds
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lithium, depakote, tegretol, lamictal, neurontin, klonopin and ativan
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