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NUR329 Psych > depressive disorder > Flashcards

depressive disorder Flashcards

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1
Q

who is at risk for depression?

A

women, white, socioeconomic status, and seasonaliy

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2
Q

what is the etiology of depression?

A

genetics, biochemical (neurotranmsitter and cortisol), hormones, inflammatory, and diathesis stress

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3
Q

What is major depression disorders?

A
  1. five or more of the following
    -weight loss
    -sleep prob
    -fatigue
    -psychomotor aggitation or retardation
    -loss of concentration
    -recurrent thoughts of death
  2. one of the following
    -depressed mood
    -loss of intersest or pleasure (anhedonia)

to be chronic must be longer than 2 years

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4
Q

How is a child or teen diagnosed with MDD?

A

must have depressed or crankiness, anehdonia and any 3 of the following
- weight loss
-insomnia or hypersomia
-fatigue
-decreased concentration or indecisiveness
-thoughts of death

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5
Q

what s/s of depression in those under the age of 3?

A

-failure to thrive
-feeding problems
-lack of playfulness
-lack of emotionsal expression
-delay in speech

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6
Q

what s/s of depression in those aged 3-5?

A

prone to accidents
-phobias
-aggressiveness
-excessive self reproach

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7
Q

what s/s of deprerssion in ages 6-8?

A

-vague physical complaines
-aggressive
-cling to parents
-avoid anything new
-behind in social skills/academics

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8
Q

s/s of depression in aged 9-12

A

morbid thoughts
-excessive worrying
-lack of interest
-think they have disappoiinted parents

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9
Q

What is disruptive mood dysregulation disorder?

A

must be diagnosed before age 10 with severe irritability with outbursts at least 3 times a week.

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10
Q

what is persistent depressive disorder?

A

a low level of depressive feelings through most days and must have two or more of the following Decreased appetite or overeating, insomnia or
hypersomnia, low energy, poor self-esteem, difficulty
thinking, and hopelessness

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11
Q

what is prementrual dysphoric disorder?

A

symptom cluster in the week prior to a period.

only has to take medication during week prior to period

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12
Q

what is substance induced depressive disorder

A

when a person doe snot experience depressive symptoms in the absence of substance use or withdrawl

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13
Q

what are common depression assessments?

A

PHQ scale
primary care screening

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14
Q

what areas should be assessed for depression?

A

-affect
-thought process/content
-mood
-judgement/insight
-physical behavior
-communication
-religious belief

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15
Q

Name the different affects in order from normal to none

A

-full/broad range
-constricted
-blunted
-flay

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16
Q

what is psychomotor retardation?

A

slowness of movement or speech that is mental related

17
Q

What is psychomotor aggitation?

A

an increases in activity brought on by mental tension, such as passing or fidgeting

18
Q

what is the recovery model?

A

a way of identifying outcomes for those with depression that include the following
-Focus on patient’s strengths to improve health and reach
full potential
 Treatment goals mutually developed
 Based on patient’s personal needs and values
 Measurable

19
Q

what are the phases and timelines associated with the treatment of depression?

A
  1. acute phase (6-12 weeks)
  2. continuation phase (4-9 months)
  3. Maintenance (1 or more years)
20
Q

what are the common classes of antidepressants?

A

-SSRIs
-SNRIs
-Tricyclic
-MAOIs

21
Q

what is the most important education points with antidepressant medication?

A
  1. may become suicidal with increased energy
  2. takes weeks to months to work
  3. NEVER stop abruptly
  4. do NOT drink alcohol
22
Q

what meds are SSRIs?

A

fluoxetine, paroxetine, sertaline, citalopram, escitalopram

23
Q

what meds are SNaRIs

A

venlafaxine, duloxetine

24
Q

what meds are SNRIs?

A

desvenlaflaxine

25
Q

what are the common s/e or SRIs?

A

dry mouth, sexual problems, tension h/a, and blurred vision

26
Q

what is the life threatening complication associated with SRIs?

A

serotonin syndrome

27
Q

what are the s/s of serotonin syndrome?

A

mental status change, ANS, neuromuscular twictching, N/V/D

28
Q

when is serotonin syndrome first noted?

A

within 6 hr of first dose of new med, dose change, or overdose

29
Q

what is the treatment for serotonin syndrome?

A

STOP med, benzos, oxygen, IVF, and symptomatic care (HR and BP meds)

30
Q

what is the danger with taking tricyclic antidepressants?

A

the danger of overdose

31
Q

what are the nursing implications with TCAs

A

check EKG and cardiac

32
Q

s/e of TCAs

A

anticholenerginic effects, sedation, weight gain, sex probs, sleep probs,

33
Q

s/e of MAOIs

A

dry mouth ,nausea, diarrhea or constipation, h/a, drowsy, insomnia, dizzy, skin reaction

34
Q

what are the diet restrictions with MAOIs?

A

-aged, smoked, fermented, marinated, or processed meats and cheeses
overripe produce
-beans
-condiments
-alcohol or nonalcoholic beer/wine or cold medicine
-avoid caffeine

HYPERTENSIVE CRISIS

35
Q

how do we treat a hypertensive crisis?

A

give regitine or procardia

36
Q

contraindications of bupropion

A

eating d/o or seizures

NUR329 Psych (11 decks)

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