Those Nasty Side Effects
Classification
Affect and Outward Expression
Identifying Features
Facts, Figures, Definitions
100

I warn people of the life threatening risks associated with some medications.

What is a black box warning. 

100

I am the most commonly prescribed class of medications for depression.

What are SSRIs?

100

His emotional expression is described as a reduction in intensity

What is blunted affect?

100

We are collectively known as the vegetative signs of depression (name 3).

What is: sadness

Loss of Interest or Pleasure

Disturbed Sleep

Change in Appetite

Low Energy

Poor Concentration


100

If you abruptly stop taking your antidepressant medications, this might happen to you.

What is Discontinuation Syndrome?

200

The patient is exhibiting agitation, spontaneous diaphoresis, tremor, hyperreflexia, hypertonia and an elevated temperature. Current medication includes: Prozac, Adderall, Synthroid and recently started taking L-Tryptophan. 

What are the symptoms of Serotonin Syndrome?

200

I am a strong inhibitor in the reuptake of both norepinephrine and serotonin and yet, I also block histaminic, cholinergic and alpha 1 adrenergic receptor sites. Who am I? What symptoms can I cause?

What are Tricyclic Antidepressants?
200

Her affect vacillates rapidly and abruptly shifts from one expression to the other extreme.

What is labile?

200

My symptoms occurs a certain times of the month and leave me feeling anxious, moody and indecisive.

What is Premenstrual Dysphoric Disorder?

200

I am the greatest cause of disability world wide.

What is Major Depressive Disorder?

300

What can happen if you eat lunch meat, aged cheese of drink chianti at dinner when taking Nardil?

What is hypertensive crisis?
300

I am a Norepinephrine Dopamine Reuptake Inhibitor (NDRI) that has the potential to lower the seizure threshold. 

What is Bupropio (Wellbutrin)?

300

Lisa’s affect seems to be very limited in range and intensity.

What is a constricted or restricted affect?

300

Name three common symptoms associated with Discontinuation Syndrome.


What is: 

Shock like sensations

Vivid dreams

Depersonalization

Vertigo

300

I describe a marked decrease in interest or pleasure in activities.

What is anhedonia?

400

I am a strong inhibitor in the reuptake of both norepinephrine and serotonin and yet, I also block histaminic, cholinergic and alpha 1 adrenergic receptor sites. Who am I? What symptoms can I cause?


What are Tricyclic Antidepressants?

Weight gain, dry mouth, constipation, drowsiness, and dizziness.

400

As a class MAOI-drug have significant interactions particularly with sympathomimetic medications that increase serotonin, norepinephrine and/or dopamine activity). What should happen prior to changing antidepressants. 


A washout period is required when switching between antidepressants (SSRI’s, SNRI’s and TCA’s): generally, at least 2 weeks with the exception of Prozac (at least 5 weeks).

400

Mr. A's emotional expression is nearly absent.  

What is a flat affect?

400

I am the biggest concern with someone experiencing depression. I often feel hopeless and helpless and want to just go to sleep and not wake up.

What are suicidal thoughts?

400

I am the adverse effect of fluoxetine (Prozac) when taken with St. John's Wort or Dextromethorphan.

What is Serotonin Syndrome?

500

I am a very weak antidepressant but am often used to help people sleep. 

What is Desyrel (Trazadone)?

500

As a class, we are the most commonly used anti-anxiety (anxiolytic) drugs. 

What are benzodiazepines?

500

The behavioral and observable manifestation of mood is known as:

What is affect?

500

JT has been taking Xanax to treat anxiety for the past year. He had surgical pair of his ACL yesterday and has not received a dose of Xanax for the past 36 hours. a) What is the nurse concerned about?           b) What symptoms might he/she/they expect to observe?



a) What is Withdrawal Syndrome? 

b) What are abdominal cramps, rebound anxiety (muscle tension, tightness in the chest, tachycardia, diaphoresis, tremors), blurred vision, dizziness, difficulty concentrating?

500

What is the mechanism of action of propranolol (Inderal)? In mental health settings, who is it most often used for?

Acts by blocking peripheral or central norepinephrine activity and symptoms of anxiety including palpitations, sweating and tremor. 

PTSD, Generalized Anxiety Disorder and Performance Anxiety. 

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