SSRI

Question 1

What are the names of SSRI

Answer 1

Paroxetine, sertraline, citalopram , escitalopram, Fluoxetine, Fluvoxamine

Question 2

How do they work

Answer 2

inhibits seretonin reuptake allowing more seretonin to stay at the juncyion of the neurons

Question 3

What is the half life of SSRI

Answer 3

has a long life long effective half life a time frame of up to 4 weeks is necessary to produce therapeutic medication levels

Question 4

Paroxetine

Answer 4

is used for generalized anxiety disorders panic disorder and obsessive compulsive disorder social anxiety disorders and trauma dissociative disorders depressive disorders

Question 5

In the first few days what side effects are seen with this medication

Answer 5

first few days and weeks : nausea diaphoresis tremor fatigue and drowsiness advise clients to report but they will soon subside

Question 6

What are the later effects of this medication :

Answer 6

after 5 - 6 weeks there is sexual dysfunction impotence delayed or delayed orgasm delayed or absent ejaculation decreased sexual interest

Question 7

side effects with this medication

Answer 7

wieght gain advise clients to follow a well balanced diet

Question 8

Gi bleed

Answer 8

medications cause GI bleed use cautiously in clients who have HX of GI bleed advise clients to state black tary stool or cofee ground emesis

Question 9

What is the electrolyte effected by this med that the nurse should watch out for

Answer 9

hyponatremia ….. more likely in older adult clients monitor serum potassium levels.

Question 10

Serotonin syndrome

Answer 10

is a complication of this medication , s/s are agitation and confusion disorientation difficulty concentrating anxiety hallucinations , spastic jerky muscle movements tremors fevers diaphoresis

Question 11

Bruxism

Answer 11

grinding and clenching of the teeth usually during sleep

Question 12

What do you treat Bruxism with

Answer 12

Buspirone

Question 13

withdrawl sundrome

Answer 13

is a complication of this medication : nausea sensory disturbances anxiety tremor malaise unease

Question 14

to avoid withdrawl

Answer 14

advise Pt to taper dose , don,t discontinue medication ubruptly

Question 15

postural hypotension

Answer 15

medication complication , monitor pt to change positions slowly

Question 16

suicidal ideation

Answer 16

medication complication

Question 17

pt taking paroxetine should avoid :

Answer 17

alcohol

Question 18

use cautiously in pts who

Answer 18

have liver renal dysfunction siezure disorders , Hx of GI bleeding

Question 19

Use of the following Meds with SSRI can cause increase risk for serotonin syndrome

Answer 19

MAOI antidepressants, or TCAS dont combine these meds

Question 20

increase risk for bleeding when taken with

Answer 20

antiplatlet , anticoagulants monitor for bleeding

Question 21

what to advise pt about sleep disturbances

Answer 21

they are minimized by taking medication in the morning

Question 22

advise pt that it can take up to …… weeks for medication to have full therapeutic effect

Answer 22

4 weeks

Question 23

Advise pt they can take medication

Answer 23

with food

Question 24

to establish a therapeutic plasma level

Answer 24

advise pt to take on a daily basis

Question 25

When is seratonin syndrome likely to happen

Answer 25

2 - 72 hours after starting treatment and can be lethal