Depression Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Symptoms

A
  • Depressed mood or irritability in children/adolescents
  • Marked diminished interest or pleasure in activities
  • Significant weight loss or gain
  • Insomnia OR hypersomnia
  • Psychomotor agitation or retardation
  • Fatigue
  • Feelings of worthiness or guilt
  • Diminished concentration
  • Indecisiveness
  • Thoughts of death/suicide
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2
Q

In MDD, the pt has depressed mood or lost of interest for how long?

A

At least 2 weeks

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3
Q

Most common co-morbidity

A

Alcohol abuse or dependence

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4
Q

Pre-disposing biological factors

A

Decreased monamines, increased acetylcholine

  • CVA
  • AD
  • Parkinson’s, Huntington’s, MS, Traumatic brain injury, electrolyte imbalances
  • Nutritional deficiencies
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5
Q

Pre-disposing factors - meds

A

Steroids, hormones, sedatives, antibiotics, antineoplastics, analgesics

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6
Q

Elderly symptoms

A

Memory loss, confusion, apathy

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7
Q

Adolescent symptoms

A

Anger, aggressiveness, social withdrawal, academic problems, substance abuse, change in behavior

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8
Q

How is depression missed/masked/not identified?

A

Stigma, masked by substance abuse, denial, co-existing medical conditions

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9
Q

Tung Self-Rating Depression Scale
Beck Depression Inventory
PHQ-9
PHQ-2

A

Self administered depression rating scales

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10
Q

Hamilton depression scale

A

Clinician administered depression scale

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11
Q

Chronic/severe depression treatment

A

Combined therapy: psychotherapy + medications

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12
Q

Antidepressant black box warning

A

Increased risk of suicidality in children and adolescents

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13
Q

Length of treatment

A

6 months - 1 year

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14
Q

What should you do when coming off the drug?

A

Taper slowly

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15
Q

How long does it takes for meds to take effect?

A

4-6 weeks

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16
Q

Recurrence

A

is common

17
Q

Side effects of SSRI/SNRI

A

H/A, nausea, weight gain/loss, INSOMNIA, SEXUAL DYSFUNCTION

18
Q

Adverse effect of SSRI/SNRI

A

Serotonin Syndrome

19
Q

Serotonin syndrome is what type of interaction

A

drug-drug

20
Q

Symptoms of serotonin syndrome

A

Diarrhea, restlessness, agitation, hyperreflexia, autonomic instability, seizure/delirium, coma, cardiovascular collapse

21
Q

How do you treat serotonin syndrome?

A

Stop the med, meds that block serotonin receptors

22
Q

Nursing Implications in Depression

A

Identify, prevent, active listening, support