Anxiety Assessment
A vague, uneasy emotional feeling experience by a person in response to a perceived threat or danger.
What is anxiety?
Irritability, lack of energy, headaches, GI disturbance, difficulty making decisions, feeling hopeless, episodes of crying, sleep disturbance.
What are signs and symptoms of major depressive disorder?
Brain dysfunction that causes abnormal and erratic shifts in mood, energy, and functional ability.
What are bipolar disorders?
Withdrawal from this substance can be as early as 6 hours and last for 48 hours or more. S/S can include elevated temperature, HTN, vomiting, tremors, diaphoresis, anxiety, agitation, insomnia, hallucinations.
What is alcohol?
Type of antidepressant that can cause increased sedation, anticholinergic effects, and cardiac arrhythmias. Important to avoid smoking as can enhance metabolism of medication. Example is amitriptyline.
What are tricyclic antidepressants (TCAs)?
Tremors, restlessness, insomnia, forgetfulness, irritability, nervous, tachycardia, dry mouth, nail biting, etc.
What are signs and symptoms of anxiety?
Females and adolescents, adults over age 65, those with medical illnesses.
What are risk factors for depression?
Elevated mood, irritability, loud speech, grandiose ideas, distracted, hyperactive, need for sleep only 3-4 hours per day, flight of ideas, dresses bizarrely with bright colors and excessive jewelry. Begins suddenly and escalates over several days.
What are signs and symptoms of a mania?
Process that occurs as the brain and body adapt to repeated doses of a substance with a declining effect as it is taken repetitively over time. Resulting in the need to use greater amounts of the substance to obtain the same effect.
What is tolerance?
What are benzodiazepines?
An intense feeling of fear or terror that occurs suddenly and intermittently without warning.
What is a panic attack?
Specificity, Lethality, Availability, Proximity
What is the SLAP mnemonic to gather more information about a suicidal individual?
Medication used to stabilize and control the initial extreme mood swings. Therapeutic level is 0.6-1.2mEq/L. Need to have a stable dietary intake of sodium. Need to take with food or a glass of milk to decrease GI upset.
What is Lithium?
Lorazepam, diazepam, or chlordiazepoxide administered frequently initially and in high doses then are tapered and discontinued.
What is the detoxification process for alcohol withdrawal?
Often first line choice for treatment of depression. Do not abruptly stop. Watch for Serotonin Syndrome and also increased risk for suicide. Examples include Paroxetine, Sertraline, Fluoxetine.
What are selective serotonin reuptake inhibitors (SSRIs)?
Emotional numbness following the event, increased vigilance or watchfulness, insomnia, intense feeling of fear and dread following a traumatic event, easy to startle.
What are signs and symptoms of posttraumatic stress disorder?
Uses the application of an electric stimulus to one or both temporal regions of the head to produce a brief, generalized seizure.
What is Electroconvulsive Therapy (ECT)?
Ensure medication adherence, create a calm and structured environment, communicate acceptable behavior and be consistent with consequences during periods of mania and encourage hydration and nutrition.
What are nursing interventions for acute mania?
12-step self-help program ran by recovering individuals with alcohol use disorder to help people who are dependent on alcohol achieve and maintain sobriety. Emphasizes accountability, spirituality, and powerlessness over alcohol.
What is Alcoholics Anonymous?
Medication used to abstain from alcohol by causing uncomfortable symptoms if alcohol is consumed such as vomiting, flushing, tachycardia, throbbing headache, and hypotension.
What is disulfiram (Antabuse)?
Attempt therapeutic techniques before trying medications, remain with the client to reduce risk for injury to self and others, be calm and reassuring, establish rapport, built trust, encourage slow deep breaths, client centered teaching.
What are nursing interventions for anxiety?
Early detection and treatment, verbalize normalcy of feelings of sadness after a birth, educate family about s/s, encourage the woman to sleep as much as possible.
What are nursing interventions related to postpartum depression risk?
Class of medications used to stabilize manic episodes in bipolar disorders including olanzapine, risperidone, and haloperidol. Side effects can include weight gain, dry mouth, constipation, orthostatic hypotension, possible confusion.
What are antipsychotic medications?
Medication used to deter from opioid use. Binds with opioid receptors in the CNS and produces euphoria, analgesia, and sedation. Should be administered with direct observation.
What is methadone?
Aged cheese, alcohol, bananas, avocados, chocolate, sour cream.
What are foods to avoid when taking an MAOI?