Quiz 2 Flashcards

1
Q

When ADRS begin when antidepressant meds are taken

A
  • right away
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1
Q

Primary NT that are enhanced by antidepressant meds

A
  • serotonin & norepinephrine
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2
Q

How often antidepressant meds are taken

A

Should be continued for 6-9 month after symptoms subside

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3
Q

When antidepressant meds start working

A

2-4 weeks

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4
Q

How antidepressant meds should be discontinued

A
  • taper to discontinue
  • don’t stop abruptly
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5
Q

Protype of the SSRI meds

A

Fluoxetine (Prozac)

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6
Q

MOA of Burpropion

A
  • blocks reuptake of dopamine & norepinephrine
  • inhibits nicotinic acetylcholine receptors
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7
Q

3 uses of Burpropion

A
  • depression
  • seasonal depression
  • smoking cessation
  • adult ADHD
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8
Q

ADRS of Burpropion

A
  • headache
  • decreased appetite
  • weight loss
  • restlessness
  • tremor
  • insomnia
  • decreased seizure threshold
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9
Q

ADRS of tricyclic antidepressants (TCA’s)

A
  • cardiac dysrhythmias
  • heart block
  • sedation
  • anticholinergic effects
  • ortho hypotension
  • increased appetite
  • excessive sweating
  • decreased seizure threshold
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10
Q

How often and when tricyclics antidepressants should be taken

A

once a day at night since it causes sedation

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11
Q

MOA of tricyclic antidepressants

A
  • block reuptake of serotonin & norepinephrine (dual action)
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12
Q

Prototype of MAO-I meds

A

Phenelzine (Nardil)

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13
Q

Common ADR reactions of MAO-Is

A
  • anxiety
  • agitation
  • ortho hypotension
  • drowsiness
  • anticholinergic effects
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14
Q

Food interactions with MAO-Is

A
  • avoid foods high in Tyramine
  • avoid aged cheese
  • avoid pickled & smoked fish
  • wine
  • beer
  • avoid fermented foods
  • avoid smoked & cured meats
  • avoid overripe fruits
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15
Q

Drug interactions with St. Johns Wort

A
  • antidepressants
  • buspirone
  • meperedine
16
Q

S&S of serotonin syndrome

A
  • tremors
  • muscle rigidity
  • mental changes
  • increased HR, BP & temp
17
Q

Common symptoms of HTN crisis

A
  • sudden increased BP & HR
  • nausea & vomiting
  • headache - often occipital
  • diaphoresis
  • decreased LOC
18
Q

Nursing interventions for HTN crisis

A
  • early identification of S&S
  • stop medication
  • don’t lie flat
19
Q

TI range of lithium

A

0.8-1.4 mEq/L

20
Q

Appropiate fluid intake for lithium

A

1 & a half liters a day

21
Q

How often patients should get lithium level when its first started

A

Initially every 2-3 days & then every 3-6 months

22
Q

Meds to avoid when taking lithium

A
  • Ibuprofen
  • NSAIDS
  • Diuretics

take Tylenol or ASA instead

23
Q

Side Effects of Lithium

A
  • GI distress
  • fine hand tremor
  • polyuria, thirst
  • weight, gain
  • bradydysrhythmias
  • hypotension
  • electrolyte imbalances
  • fatigue, lethargy, headache, mental dullness
  • renal effects
  • hypothyroidism w/ long term tx
24
Q

What are the anticonvulsant mood stabilizer meds?

A
  • Valporate (Depakote)
  • Carbamazepine (Tegretol)
  • Lamotrigine (Lamictal)
25
Q

What lab must be monitored in patients taking valproic acid?

A
  • liver function b/c it can be liver toxic
26
Q

Advantages of anticonvulsant mood stabilizer meds over lithium

A
  • wide TI index
  • less ADRs