Antidepressants

Question 1

sertraline trade name

Answer 1

zoloft

Question 2

sertraline drug class

Answer 2

antidepressant, SSRI

Question 3

sertraline how it works

Answer 3

inhibit reuptake in CNS, ^ effects serotonin

Question 4

sertraline expected effect

Answer 4

improve mood sleep appetitive energy & decrease fear, anxiety panic

Question 5

sertraline why use

Answer 5

depression, OCD, PTSD, panic, anxiety, premenstrual dysmorphic disorder

Question 6

sertraline dosage

Answer 6

depression/ OCD 25-50mg to max 200

premenstrual dysmorphic disorder 50-100mg

Question 7

sertraline route admin

Answer 7

PO

Question 8

sertraline adverse effects

Answer 8

seizure, neuroleptic malignant syndrome, serotonin syndrome, suicide, hepatitis, neonatal abstinence

Question 9

sertraline black box

Answer 9

suicide thoughts/ ideation in kids

Question 10

sertraline nursing considerations

Answer 10

mental status, bleeding, serotonin syndrome, neuroleptic malignant syndrome

Question 11

esciptalopram trade name

Answer 11

cipralex, lexapro

Question 12

escitalopram drug class

Answer 12

SSRI, antidepressant

Question 13

escitalopram expected effect

Answer 13

inhibit CNS reuptake serotonin but no NP

Question 14

why use escitalopram

Answer 14

anxiety, depression

Question 15

escitalopram black box

Answer 15

kids suicide ideation; clinical worsening suicide; mental status mood suicide depression panic worsen > not approved kids

Question 16

escitalopram side effects

Answer 16

suicide, seizure, neuroleptic malignant, hemorrhage, tachy, brady, MI, serotonin, Stevens Johnson syndrome, neonatal abstinence

Question 17

escitalopram dosages

Answer 17

PO 10mg, may increase 20mg, maintain 10-20mg

hepatic: 10mg PO

Question 18

escitalopram route admin

Answer 18

PO

Question 19

escitalopram nursing considerations

Answer 19

allergic rxn, serotonin syndrome, ECG, teach patient about serotonin syndrome & to report it (nausea, vomit, dizzy, sweat, mental changes)

Question 20

citalopram trade name

Answer 20

celexa

Question 21

citalopram drug class

Answer 21

antidepressant, SSRI

Question 22

citalopram expected effect

Answer 22

inhibit CNS reuptake serotonin. Not inhibit NR making it more appealing

Question 23

citalopram why use

Answer 23

depression

Question 24

citalopram adverse effect

Answer 24

anxiety, seizure, hallucinations, psychosis, sucide, neuroleptic malignant syndrome, hemorrhage, heart problems, pneumonia, serotonin syndrome, serotonin, neonatal abstinence

Question 25

citalopram nursing considerations

Answer 25

mental stauts, serotonin syndrome, vital signs, tornadoes de points, if systolic drops 20 hold med and tell prescriber
teach: 4-6weeks, higher anxiety at first, do not discontinue abruptly, avoid alcohol depressants, no pregnant or kids, teach signs serotonin symptoms

Question 26

citalopram doses

Answer 26

depression 20mg/day up to 40mg
panic 20-40mg
prementrual 10-30mg