anxiety/depression Flashcards
___-___ and collaboration from ___ ___ are the basis for dx of anxiety/depression.
self-report, significant other
____ is a helpful reaction to danger. When it becomes a problem w/the frequency, intensity, and duration of times, it can interfere w/___ ___.
anxiety, problem-solving
Abrupt withdrawal of alprazolam can cause ___ and ___.
seizures, death
Examples of selective serotonin reuptake inhibitors (SSRI’s) include:
fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil)
Teaching w/SSRI’s include: reducing ___ intake.
alcohol
Antidepressants can be activating when it comes to ___ and give ind. who are contemplating it the energy to do so.
suicide
Common s/e of SSRI’s include:
n/v, dry mouth, sexual dysfunction, and agitation and h/a
buspirone ___ serotonin
increases
Taking buspirone w/___ may increase the risk of serotonin syndrome, which is a state of excessive ___.
sumatriptan (Imitrex), serotonin
S/S of serotonin syndrome include: spontaneous ___, ___ clonus w/agitation or diaphoresis, ___ clonus w/agitation or diaphoresis, ___, and ___ w/100.4 temp.
clonus, inducible, ocular, tremors, hypertonia
Prescribing more than one serotonin medication may cause ___ ___.
serotonin syndrome
Besides psychiatric meds, other meds that may interact w/SSRI’s and cause serotonin syndrome include:
triptans, dextromethorphan, valproic acid, methoclopramide, tramadol, St. John’s wort
Therapy for mild depression includes:
moderate depression:
severe depression:
- active support and monitor every 2 wks
- medication, cognitive behavioral therapy (CBT), interpersonal therapy
- medication w/CBT
___ (aka Lexapro) is a good medication to start an ___ on for depression. Warn about ___ precautions.
escitalopram, suicide
___ (aka Celexa) is a good antidepressant for use in ___.
citalopram, geriatrics
SIADH is syndrome of ___ ___ ___ secretion. This can be a s/e of ___.
inappropriate antidiuretic hormone, citalopram
SIADH is evidenced by ___ ___ (< 280) and ___ (< 135). It is caused by abnormal or sustained secretion of ___ ___ resulting in increased ___, increased ___ ___, and elevated ___ ___ levels.
plasma hypotonicity, hyponatremia, antidiuretic hormone, fluids, blood volume, urine sodium
Risk factors for SIADH: ___ 60, SSRI in comb w/___ diuretic, antipsychotic, narcotic and oral hypoglycemic agents.
> , thiazide
S/S of SIADH include: subtle ___ ___ and ___
muscle cramps, falls
Guidelines suggest continuing to take an antidepressant for ___-___ months once being started. Early discontinuation can lead to early ___.
6-9, relapse
S/E of many antidepressants includes ___ ___. ___ has a lower incidence of this s/e.
wt gain, citalopram
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.
taper, gradually, 4, d/c, 14
S/S of discontinuation include:
dizziness, depression, insomnia, anxiety, n/v, myalgia
