Depression *** Flashcards

1
Q

Dx

A

1 of:
Depressed mood
Anhedonia
5 of:
Depressed mood
Anhedonia
Sleep disturbance
Feelings of worthlessness
Low energy
Poor concentration
Appetite change
Psychomotor agitation or retardation
Suicidal ideation

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2
Q

RF

A

Female, family hx, negative childhood experience, stressors, postpartum,
chronic medical condition, SES, SU, postpartum women, chronic disease, chronic pain

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3
Q

Best meds for elderly, pregnant, menopausea, least sexual SE

A

Elderly = duloxetine, mirtazapine, buproprion, citalopram, sertraline, venlafaxine
Pregnant = AVOID Paroxetine + clomipramine (cardiac defects)
Menopausal = 1) Desvenlafaxine + CBT 2) transdermal estradiol, citalopram, duloxetine, mirtazapine, quetiapine, venlafaxine, sertraline
Antidepressant with least sexual SE: bupropion

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4
Q

Rx for serotonin syndrome

A

DC meds
ER
Cyproheptadine

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5
Q

Lithium SE

A

vomiting, diarrhea, ataxia, myoclonic jerks, wt gain

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6
Q

Lithium monitoring

A

Cr, TSH, lithium, calcium, bHCG

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7
Q

Lithium levels

A

0.6-1.2

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8
Q

Serotonin syndrome drugs

A

MAOis, SSRIs, SNRIs

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9
Q

NMS sx not in serotonin syndrome

A

clonus

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10
Q

Acute mania + maintenance meds

A

lithium, quetiapine, divalproex

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