Depressive Disorders and Antidepressant Drugs: 10

Question 1

Identify indications and guidelines for the
administration and monitoring of antidepressant medications and prominent side effects for these treatments (4)

Dont give antidepressants to?

Answer 1

DO NOT give antidepressants to people with BPD (increases manic episodes)

Question 2

Selective Serotonin Reuptake
Inhibitors (SSRI)

Side effects? 7
Risk of ____ and do not give with ____?

Answer 2

Sexual dysfunction
Nausea
Sleep problems
Sweating
SODIUM LOSS (especially elderly)

Weight change
Bruxism (teeth grinding)

Risk of BLEEDING: do not give with NSAIDs (+ bleeding)

Question 3

Serotonin and Norepinephrine
Reuptake Inhibitors (SSNRI)

Side effects?
Same as ____ and? 4

Answer 3

Same as SSRI’s!!!!

BLEEDING
HYPERTENSION (norepinephrine part)
Anxiety

Question 4

MAOI side effects? 4
Wash out period

Answer 4

Sexual dysfunction
HYPERTENSIVE CRISIS
NO tyramine {2 questions}
Orthostatic hypotension

2-week (14 day) wash out BOTH directions!

Question 5

Tricyclic Antidepressants
Side effects? 4

Answer 5

Sedation
CARDIAC TOXICITY
Orthostatic hypotension
Weight gain

Question 6

Trycyclic antidepressant considerations

T.C.A?

Answer 6

Same as SSRIs!

T-think
Think how the drug works- Increase serotonin and Norepinephrine

C- Cardiac
Watch out for the heart, also alpha-1 blockade- orthostatic hypotension/dizziness

A- Anti- A lot
Antidepressant (suicidal Ideation)
Anticholinergic (delirium, seizures)
Antihistamine (sleepiness, weight gain)

Question 7

What are the 6 SSRI’s?

CE FF PS

Answer 7

citalopram
escitalopram

fluoxetine
fluvoxamine

paroxetine
sertraline

Question 8

Test question

What are the 4 SNRI’s?

DDVL

Answer 8

Duloxetine
Desvenlafaxine

Venlafaxine
Levomilnacipran

Question 9

Antidepressants: 1st Gen Tricylic

AMIND

Answer 9

Amitriptyline
Maprotiline
Imipramine
Nortriptyline
Desipramine

Question 10

Identify nursing assessment methods and
interventions for persons with depressive disorders (6)

Answer 10

Psychotherapy: Use thought-stopping techniques and promote positive self-talk to alter negative thought patterns

Group Therapy: Support groups are effective, particularly for patients with chronic illness comorbidities

Pharmacotherapy
Electroconvulsive Therapy
Light Therapy
Setting goals

Question 11

ECT

They will experience?
There will be?
Monitor?
What PRN for agitation?

Answer 11

They can/will experience a headache
There will be malfunction temporarily
Monitor vital signs
Benzodiazepine PRN for agitation

Question 12

Bright Light Therapy

What is it?
Nursing interventions?
Contraindications?

Answer 12

Depressed mood during darker months

Make sure they are familiar with the adverse side effects: nausea, or eye irritation

glaucoma, cataracts and the use of photosynthesizing medications

Question 13

Depression Symptoms:
SIGECAPS

Answer 13

Sleep Changes
Interest diminished
Guilt
Energy Diminished

Concentration Diminished
Appetite Changes
Psychomotor agitation or retardation
Suicide Ideation

Question 14

Disruptive Mood Dysregulation Disorder (DMDD)

Answer 14

Severe, chronic irritability with angry mood

Frequent temper outbursts at least 3x a week

Question 15

Persistent Depressive
Disorder (formerly called Dysthymia)

Depressed mood for?
Diagnosis?

Answer 15

Depressive mood for atleast 2 years

Diagnosis: Depressed mood + TWO other symptoms:
Low energy, appetite changes, low self esteem, etc

Question 16

Must have what to be diagnosed with Major Depressive Disorder?

Answer 16

Depressive mood and Anhedonia

Question 17

What is the only SSRI approved for children 8 years or older for MDD

Answer 17

Fluoxetine

Question 18

Seratonin Syndrome

SHIVERS

Answer 18

Shivers
Hyperreflexia
Increased temperature
Vital sign abnormalities
Encephalopathy
Restlessness
Sweating