Meds: Depression and Mood Disorders Flashcards
What two meds may be given to children for OCD?
Fluvoxamine (8+)
Sertraline (6+)
Name some SSRIs
Prozac Zoloft - Serotonin Syndrome Lexapro - nausea first few days Celexa Paxil - Sexual problems Luvox
What are the atypical antidepressants?
Buproprion (Wellbutrin/Zyban)
Buspirone (BuSpar)
Nefasadone (Serzone)
Side effects of Atypical Antidepressants?
nausea, dizziness, headache, anxiety
Off label use of Buproprion (Wellbutrin, Xyban)?
Weight loss
smoking cessation
Name some SNRIs.
Cymbalta (Duloxetine) - severe depression (liver probs)
Remeron (Mirtazapine) - good for pts w/SI
Effexor (Venlafaxine)
Pristiq (Desvenlafaxine)
defense mechanisms for depression
Repression
Introjection (turning anger inward)
Regression
S/S of serotonin syndrome
hyperactivity tachycardia Increased BP abdominal pain seizures, myoclonus high Fever CV shock --> death
Restrictions with MAOI?
Tyramine free diet
No pseudophedrine products
Name some TCAs.
-lines
-mines
-pines
Elavil
Anafranil
Norpramin
Sinequan
etc
Potential SE of TCAs.
OH, urunary retention, dry mouth and constipation d/t antichol. effects
Sexual problems-decreased pleasure
Dysrhythmias
name some MAOIs.
Marplan (isocarboxizid)
Nardil (phenelzine)
Parnate (tranylcypromine)
Eldepryl, EMSAM, transderm patch ( selegiline)
What is given by the nurse before ECT?
Robinul (anticholinergic) to decrease secretions and prevent aspiration
RNs role in ECT
- prevent aspiration (robinul)
- reorient
- VS
Possible side effect of ECT:
Anterograde or retrograde amnesia - 2-3 weeks
confusion
disorientation
possible: HA, muscle aches, ataxia, blurred vision, amenorrhea
