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12 Cards in this Set
- Front
- Back
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1. How long must the sx of depression be present (including depressed mood or anhedonia) be present to be major depression?
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a. >2 weeks
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2. Elderly depressed pts are more likely to present with what sx?
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a. Weight loss
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3. Is age a risk factor for depression in community-dwelling elderly?
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NO
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4. You should specifically inquire about suicidal ideation. Elderly pts are at higher risk for committing suicide…what type of pt is most at risk?
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a. Elderly white man living alone
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5. What is the only lab test that is routinely part of the evaluation of elderly depression?
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TSH
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6. Who responds better to pharmacologic tx of depression, young or old? How should you pick your medication?
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a. They respond equally as well
b. Pick based on side-effect profile/drug interactions, no one is better than another |
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7. How should meds be given to a pt (new meds)
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a. Lowest dose and titrated up to a target dose over the next 2 weeks
b. Start low, go slow |
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8. How long can it take to see therapeutic effects of antidepressants?
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a. 6 weeks of longer
b. Tx should continue for at least 6 months to prevent relapse |
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9. Abrupt discontinuation of short acting serotonergic drugs may result in what?
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a. Serotonin syndrome (tinnitus, vertigo, or paresthesias)
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10. KEY POINT: The following can be sx of what problem? Cognitive impairment, anxiety, weight loss, psychosis, aggression, functional decline, or somatic complaints
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a. Depression
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11. KEY POINT: Geriatric pts with depression are at high risk for what 4 problems
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a. Suicide
b. CV dz c. Dementia d. Disability |
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12. What drug has been used as a stimulant for depressed pts with severe psychomotor retardation?
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a. Methyphenidate (Ritalin)
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