Exam 2 from Daniel Flashcards
So if you want to kill someone via hypertensive crisis who is on phenelzine (MAOI), what should you give him?
Dairy:Cheese, yogurt, pizza, or mac and cheese
Meat: Dried Fish, Sausage
Soy Sauce, wine or beer
Main highlights of MAOIs
- NOT a 3rd generation antidepressant
- DOESN’T play well with others
- Last line of treatment for depression
- Look out for increased sugar in diabetics cuz of anticholinergic effects
- CBC (decreased WBCs)
- NO F*CKING TYRAMINE!
Standard precautions for most antidepressants of any class
Orthostatic hypotension
I/O
Liver Labs
Difference between delirium and dementia
Delirium is quick- secondary to UTI in elderly, drugs/alcohol/ injury/ Post OP
Dementia is gradual, long development
Are dementia or delirium diseases?
No- They’re a set of symptoms
Main nursing interventions with dementia patients in healthcare setting
Safety
Maintain reality - Re-orient
Decrease anxiety;
–Drugs— (-Pam, - lam) (Ativan)
Goals for dementia patients
ZERO injuries
Maintain WT
Appropriate social interaction
WTF is agoraphobia?
Fear of being incompacitated by being forced into or trapped in an a situation in which there is no escape
Can agoraphobia lead to a panic attack?
yeah
Interventions for phobias
Cognitive Restructuring
-Ease pt. into a lifestyle in which pt. can tolerate phobia
Relaxation techniques
What’s it called when you reintroduce phobias into a pt’s life to desensitize him ot what he’s afraid of?
Systematic densitization
Say a patient has diagnosed himself with asthma, but there is no medical basis for this claim and the doctor says “you’re good, man, go home.” The patient freaks out at the nurse and says “That doctor sucks! He’s so wrong!” What’s the most therapeutic response?
- Go home, bro, you’re cray cray
- “You’re fine”
- “Can you explain more?”
- “It’s a nice day outside, I’ll open the windows.”
Oh, and what kind of disorder does this scenario indicate?
3.
The nurse is always trying to gather data and getting the patient to talk about his feelings.
This patient probably has a somatization disorder.
When gathering data about a patient, what are the major factors that indicate a somatization disorder?
- history of a lot of doctors
- Seeking medical attention for many years
- may have symptoms that arise from internalized anxiety
What kinds of symptoms can anxiety bring?
HTN, Peptic Ulcer, migraine
Pt. has been on Buspar for 2 weeks and is complaining that it’s not working to help with her social anxiety. What’s the best nursing response?
- What you want, a cookie?
- It’ll all be ok
- Crap, let’s call the doctor
- Buspar takes 3-6 weeks to be effective
- Buspar takes 3-6 weeks to be effective
