Pharm
Name a main Neurotransmitters?
(Seven)
• Dopamine (important)
• Acetylcholine
• Gamma-Aminobutyric acid (GABA)
• Glutamate
• Histamine
• Norepinephrine
• Serotonin
What kind of STRESS?
Exercise
Socializing
Mindfulness/mediation
Building
relationships/friendships
Vacationing
Listing to music
Achieving a goal
Go to a spa
Examples of Eustress
Stressors
This can occur in any individual who has had exposure to a trauma severe enough to be outside the range of normal human experience
can also occur in people
who have witnessed an unbearable event.
Individuals feel extraordinary helplessness or
powerlessness in the face of overwhelming circumstances
What is Posttraumatic Stress Disorder (PTSD)?
Andrew, a hospice nurse for 5 years and a member of your nursing team is demonstrating a blunted affect and is not completing patient care documentation in the required time
frame. As a peer, what is your best action?
A. Avoid mentioning these observations because you are only a peer.
B. Ask Andrew what he feels is causing him to fall behind in his work.
C. Immediately report your concerns to the nurse manager in charge of your team.
D. Take Andrew to lunch and keep the conversation lightand humorous.
Answer:
B. Ask Andrew what he feels is causing him to fall behind in his work.
Recognizing our own biases
Reflection on our personal
attitudes & beliefs
What is Self Awareness?
What is
Lithium and what is the therapeutic serum range ?
Mood Stabilizer
• 1.0 to 1.5 mEq/L
• Serum lithium levels greater than 1.5 mEq/L may lead to toxicity
Fight or Flight
When you FREEZE what Nervous System are you using?
• An alternative autonomic stress response
Sympathetic Nervous System (SNS)
May result from experiencing a traumatic event
or repeatedly witnessing a violent or traumatic
event
Same symptoms as PTSD
The symptoms resolve within 1 month
What is Acute Stress Disorder ?
Jon, an emergency department (ED) nurse, has just
worked an 8-hour shift in the ED. After a five-car wreck during his midshift, five patients have been transported to the hospital with multiple injuries and one fatality. Jon looks exhausted, and his hands are tremulous. He insists that he is scheduled to work another 6 hours. As the nurse manager, what is your best action?
A. Tell him that he needs to end his shift right away.
B. Tell him he needs to nap for 30 minutes and then return to work.
C. Tell him to go to the cafeteria, relax, and drink strong coffee.
D. Tell him to eat a high carbohydrate snack, take a 30- minute break, and then return to work.
Answer:
A. Your role as nurse manager of patient care includes deciding who is safe to work, and Jon is not safe.
Process of imagining another person's state by
identifying and understanding his or her feelings
and perspectives, while maintaining an objective
standpoint.
What is Empathy?
As part of the stress response, the HPA axis is stimulated. Which structures make up this system?
What is Hypothalamus, pituitary gland, and adrenal glands
What kind of STRESS?
Deadlines
Financial crisis
Death
Relationship problems
Abuse or feeling
neglected
Illness/injury
Work problems
Worry
Examples of Distress
Stressors
A disturbance in the normally well-integrated
continuum of consciousness, memory, identity, and
perception.
What is
Dissociative disorders (DD)?
Healthy life force is necessary for survival
What kind of anxiety?
What is Normal anxiety?
What kind of anxiety?
Long-term; thought to be associated with increased risk for cardiovascular morbidity; usually begins at a young age.
What is Chronic anxiety?
• Side effects/adverse reactions,Headache, drowsiness, dizziness, blurred vision
Restlessness, tremors, memory impairment
Dry mouth, metallic taste, GI distress
• Hypotension, dysrhythmias
Edema of hands and ankles, dehydration
Increased urination, blood dyscrasias, NMS
Serotonin syndrome, nephrotoxicity
for WHAT DRUG?
Lithium
Fight or Flight
When you Rest and Digest what Nervous System u using?
Parasympathetic Nervous System (PNS)
Choose Normal, Acute, or Chronic ANXIETY for the following:
Mr. Jones has not left his house for 3 months. He tells his family, “I know this is not normal, but I just can’t go outside.” His wife died 3 years earlier.
what is Chronic anxiety?
Precipitated by imminent loss or threat
is what kind of anxiety?
What is Acute anxiety?
Choose Normal, Acute, or Chronic ANXIETY for the following:
Charlie is 19 years old with an ileostomy caused by rectal surgery for cancer, which has rendered him sexually impotent.
He is admitted to the psychiatric unit and is unable to state his name.
What is Acute anxiety?
Name four types of anxiety?
Normal anxiety
Acute anxiety
Pathological anxiety
Chronic anxiety
What kind of anxiety?
Differs from normal anxiety in terms of duration, intensity, and disturbance in a person’s ability to function.
what is Pathological anxiety?
Choose Normal, Acute, or Chronic ANXIETY for the following:
Alex has a chemistry test this morning. She “crammed” for the test the previous night but did not study before that. She has an upset stomach and headache.
What is Normal anxiety?