anxiety/depression

Question 1

___-___ and collaboration from ___ ___ are the basis for dx of anxiety/depression.

Answer 1

self-report, significant other

Question 2

____ is a helpful reaction to danger. When it becomes a problem w/the frequency, intensity, and duration of times, it can interfere w/___ ___.

Answer 2

anxiety, problem-solving

Question 3

Abrupt withdrawal of alprazolam can cause ___ and ___.

Answer 3

seizures, death

Question 4

Examples of selective serotonin reuptake inhibitors (SSRI’s) include:

Answer 4

fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil)

Question 5

Teaching w/SSRI’s include: reducing ___ intake.

Answer 5

alcohol

Question 6

Antidepressants can be activating when it comes to ___ and give ind. who are contemplating it the energy to do so.

Answer 6

suicide

Question 7

Common s/e of SSRI’s include:

Answer 7

n/v, dry mouth, sexual dysfunction, and agitation and h/a

Question 8

buspirone ___ serotonin

Answer 8

increases

Question 9

Taking buspirone w/___ may increase the risk of serotonin syndrome, which is a state of excessive ___.

Answer 9

sumatriptan (Imitrex), serotonin

Question 10

S/S of serotonin syndrome include: spontaneous ___, ___ clonus w/agitation or diaphoresis, ___ clonus w/agitation or diaphoresis, ___, and ___ w/100.4 temp.

Answer 10

clonus, inducible, ocular, tremors, hypertonia

Question 11

Prescribing more than one serotonin medication may cause ___ ___.

Answer 11

serotonin syndrome

Question 12

Besides psychiatric meds, other meds that may interact w/SSRI’s and cause serotonin syndrome include:

Answer 12

triptans, dextromethorphan, valproic acid, methoclopramide, tramadol, St. John’s wort

Question 13

Therapy for mild depression includes:
moderate depression:
severe depression:

Answer 13

• active support and monitor every 2 wks
• medication, cognitive behavioral therapy (CBT), interpersonal therapy
• medication w/CBT

Question 14

___ (aka Lexapro) is a good medication to start an ___ on for depression. Warn about ___ precautions.

Answer 14

escitalopram, suicide

Question 15

___ (aka Celexa) is a good antidepressant for use in ___.

Answer 15

citalopram, geriatrics

Question 16

SIADH is syndrome of ___ ___ ___ secretion. This can be a s/e of ___.

Answer 16

inappropriate antidiuretic hormone, citalopram

Question 17

SIADH is evidenced by ___ ___ (< 280) and ___ (< 135). It is caused by abnormal or sustained secretion of ___ ___ resulting in increased ___, increased ___ ___, and elevated ___ ___ levels.

Answer 17

plasma hypotonicity, hyponatremia, antidiuretic hormone, fluids, blood volume, urine sodium

Question 18

Risk factors for SIADH: ___ 60, SSRI in comb w/___ diuretic, antipsychotic, narcotic and oral hypoglycemic agents.

Answer 18

> , thiazide

Question 19

S/S of SIADH include: subtle ___ ___ and ___

Answer 19

muscle cramps, falls

Question 20

Guidelines suggest continuing to take an antidepressant for ___-___ months once being started. Early discontinuation can lead to early ___.

Answer 20

6-9, relapse

Question 21

S/E of many antidepressants includes ___ ___. ___ has a lower incidence of this s/e.

Answer 21

wt gain, citalopram

Question 22

If a pt is requesting to be taken off of an antidepressant, it is important to ___. So lower dose ___, have pt RTC in ___ wks and if doing well then may ___. OR taper medication over ___ days, then d/c.

Answer 22

taper, gradually, 4, d/c, 14

Question 23

S/S of discontinuation include:

Answer 23

dizziness, depression, insomnia, anxiety, n/v, myalgia