SAS 9 Flashcards

(42 cards)

1
Q

A person’s mood goes far beyond the normal “ups and downs”

A

Affective Disorder

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2
Q

Severe and long-lasting feelings of sadness beyond the precipitating event

A

Depression

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3
Q

Depression results from a deficiency of what?

A

norepinephrine (NE), dopamine, or serotonin (5HT)

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4
Q

Classification of Antidepressants

A

TCAs, MAOIs, SSRIs, Atypical antidepressants (heterocyclic second generation)

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5
Q

TCAs

A

Tricyclic antidepressants

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6
Q

MAOIs

A

Monoamine Oxidase Inhibitors

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7
Q

SSRIs

A

Selective Serotoninreuptake inhibitors

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8
Q

SSRIs are effective after how many weeks?

A

2-4 weeks

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9
Q

TCAs are effective after how many weeks?

A

2-4 weeks

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10
Q

Half-life of TCAs

A

8 to 68 hrs

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11
Q

TCAs Action

A

Reduce the re-uptake of 5HT and NE into nerves

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12
Q

Used for adult outpatients with reactive depression

A

Tranylcypromine (Parnate)

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13
Q

Used for patients who DO NOT respond to or cannot take newer, safer antidepressants

A

Isocarboxazid (Marplan)

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14
Q

Used fie SOME patients who do not respond to newer, safer antidepressants

A

Phenelzine (Nardil)

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15
Q

TCAs Drug-to-drug interactions

A

MAOIs, cimetidine, fluoxetine (prozac), ranitidine, and oral antidepressants

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16
Q

Treatment of patients with depression who are unresponsive to other antidepression agents

A

MAOIs

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17
Q

Peak of TCAs

18
Q

Peak of MAOIs

19
Q

This drug can cause an increase in blood pressure

20
Q

Food interactions of MAOIs

A

Tyramine or pressor amines: increase blood pressure

21
Q

The newest group of antidepressants

22
Q

Specifically block the re-uptake of 5HT, with little to no known effect on NE

23
Q

It is associated with congenital abnormalities

24
Q

When combined with TCAs, it increases therapeutic and toxic effects

25
Normal VALUE OF LITHIUM
0.5-1.5 meg/L
26
Eskalith, Lithane, Lithonate, Lithobid
Lithium Trade name
27
alters sodium transport in nerve and muscle cells
Lithium
28
Inhibits the release of norepinephrine and dopamine but not serotonin from stimulated serotonin
Lithium
29
Jerky movements of muscle
Clonic movements
30
It causes cardiac dysrhythmias
Lithium
31
S/sx of depression
mood changes, insomnia, apathy, lack of interest in activities
32
MILD lithium toxicity (no specific antidote for this)
Increase fluid intake
33
Studies have not shown efficacy in using antidepressant drugs to treat depression in children and also indicate that there may be an increase in suicidal ideation and suicidal behavior when antidepressants are used to treat depression in children.
Anttidepressants in children
34
These antidepressant agents should be avoided in children if at all possible because of the potential for drug-food interactions and the serious side effects
MOIs
35
TCAs drugs; clomipramine, imipramine, nortriptyline, and trimipramine have established pediatric dosages
true
36
Fluvoxamine and sertraline have established dosage for the treatment of obsessive-compulsive disorder
true
37
It is widely to treat depression in adolescents
Fluoxetine
38
Contraindicated to renal or hepatic impairment
MAOIs
39
They prevent the breakdown of dopamine, serotonin, and norepinephrine by inhibiting what drug?
MAOIs
40
In order to counteract the effect of a hypertensive crisis, the drug that we will give to the patient is
Regitine
41
It might be caused by a dysfunction or the neurotransmitters; serotonin, norepinephrine, and dopamine
ADHD
42