DEPRESSIVE DISORDERS Flashcards

1
Q

A mood disorder that causes a persistent feeling of sadness and loss of interest

A

Depression

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2
Q

Painful feelings come in waves

A

Grief

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2
Q

Natural response to a loss

A

Grief

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2
Q

Self-esteem is maintained

A

Grief

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2
Q

Dysregulation in serotonin (5HT), NE, Dopamine systems

A

Biogenic Amine Theory

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2
Q

Weak ego and punitive superego

A

Psychoanalytic Theory

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3
Q

Feelings of worthlessness and self-loathing

A

Depression

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3
Q

Mood and interest are decreased

A

Depression

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3
Q

Etiology of Depressive Disorders

A

-Genetic
- Biogenic Amine Theory
-Psychoanalytic Theory
- Object Loss Theory
-Learned Helplessness

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4
Q

Abandonment or separation from a significant other during the first 6 months of life

A

Object Loss Theory

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5
Q

At least 2 weeks of depressed mood or loss of interest

A

Major Depressive Disorder (MDD)

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6
Q

Major Depressive Disorder has atleast 4 of the following

A

-Appetite and /or weight disturbance
- Sleep disturbance
- Psychomotor agitation or retardation
- Fatigue
- Feelings of worthlessness
- Recurrent suicidal thoughts

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7
Q

Depressed mood for atleast 2 years

A

Persistent Depressive Disorder (Dysthymia)

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8
Q

Manifestations of Persistent Depressive Disorder (Dysthymia)

A

-Appetite and/or weight disturbance
-Sleep disturbance
- Fatigue
- Feelings of worthlessness
- Feelings of hopelessness
- Poor concentration or difficulty making decision

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9
Q

Milder form of depression

A

Persistent Depressive Disorder

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10
Q

First Line treatment of depressive disorders

11
Q

Second line treatment of depressive disorders

A

Atypical, Cyclic antidepressants

12
Q

Third line treatment of depressive disorders

12
Q

Key nursing interventions of depressive disorders

A

-Explain to the patient the importance of continued intake of antidepressants even if it takes time to show the desired effects
-WOF suicidal tendencies especially when energy returns during antidepressant therapy

13
Q

Involves the delivery of an electrical impulse to the brain to cause a seizure

A

Electroconvulsive Therapy (ECT)

14
Q

Indications of ECT

A

-Unresponsive to antidepressants
- Patients who experience intolerable S/E at therapeutic doses
- Pregnant women
- Actively suicidal patients

15
Q

Pre-Procedure Care of ECT

A

-Facilitate signing of informed consent
- NPO post-midnight
- Remove nail polish
- Instruct to void before procedure
-Start IV line

16
Q

Pre-Procedure Medications of ECT

A

-Atropine
-Methohexital
-Succinylcholine

17
Q

To reduce secretions (anticholinergic)

18
for immediate anesthesia (barbiturate)
Methohexital
19
for neuromuscular blocking effect
Succinylcholine
20
Side effects of ECT
-Mild confusion/brief disorientation - Fatigue - Headache - Short-term memory loss
21
Post-Procedure Care of ECT
-Mechanically ventilate with 100% oxygen until the patient can breathe unassisted. -Monitor for respiratory problems. -Reorient patient (to time, place, person) as he or she emerges from a groggy state. -Administer benzodiazepines, as needed for agitation.
22
Atypical
Pertains to teenager
23
Melancholic
Happens to elderly and adults
24
Negative aspect of melancholic
Despair