Chapter 30 (4) Flashcards
Common mistakes practitioners make in treating anxiety disorders include:
Thinking a partial response to medication is acceptable
An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be:
Buspirone (Buspar)
An appropriate drug to initially treat panic disorder is:
Diazepam (V alium)
Prior to starting antidepressants, patients should have laboratory testing to rule out:
Hypothyroidism
David is a 34-year-old patient who is starting on paroxetine (Paxil) for depression. David’s education regarding his medication would include:
He may experience sexual dysfunction beginning a month after he starts therapy.
Jamison has been prescribed citalopram (Celexa) to treat his depression. Education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
Appetite and concentration improve in the first 1 to 2 weeks.
An appropriate drug for the treatment of depression with anxiety would be:
Escitalopram (Lexapro)
An appropriate first-line drug for the treatment of depression with fatigue and low energy would be:
Venlafaxine (Effexor)
The laboratory monitoring required when a patient is on a selective serotonin reuptake inhibitor is:
There is no laboratory monitoring required
Jaycee has been on escitalopram (Lexapro) for a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when starting a taper off antidepressants?
Reduce dose by 50% for 3 to 4 days
The longer-term Xanax patient comes in and states they need a higher dose of the medication. They deny any additional, new, or accelerating triggers of their anxiety. What is the probable reason?
They have become tolerant of the medication, which is characterized by the need
for higher and higher doses.
What “onset of action” symptoms should be reviewed with patients who have been newly prescribed a selective serotonin reuptake inhibitor?
They can feel a bit of nausea, but this resolves in a week.
Which of the following should not be taken with a selective serotonin reuptake inhibitor?
Alcohol
Why is the consistency of taking paroxetine (Paxil) and never running out of medication more important than with most other selective serotonin reuptake inhibitors (SSRIs)?
It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
The the sudden deep sadness. patient shares with the provider that he is taking his Prozac at night before going to bed. What is best response?
Have you noticed that you are having more sleep issues since you started that?
