Pharmacological Interventions
The following food items should be avoided in patients taking this type of antidepressant: aged cheeses, wine, beer cured meats
MAOIs
Ensure safety & reduce risk of injury
Individuals with mixed symptoms are at increased risk of this:
Self-harm or suicidal ideations
This part of the nurse-client relationship can be very influential in outcome of care of a client
Establish trust or rapport with client
A screening tool that can be utilized for individuals to identify potential self harm is:
SAD PERSONS Scale
This mood stabilizing medication has a therapeutic range from 0.6-1.2 mEq/L.
Lithium
It can take up to __________ for antidepressant medications to be fully therapeutic
2-6 weeks
During communication with a patient in a manic phase, this technique may need to be utilized to influence the conversation
Redirect the patient during communication
A client on antipsychotic medications would be identified as being effective related to which assessment findings:
Decreased visual/auditory hallucinations, decreased risk of self-harm
genetic or family history of self-harm/suicide
_____ is the amount of days recommended in between changing antidepressant medications
14 days
This screening tool can be beneficial in identifying risk for depression for the older adult population
Geriatric Depression Scale
This factor can be very influential to an individuals reduction and prevention of bipolar manic or depressive relapses
Med adherence
A patient's overall level of functioning can be greatest influenced by:
the degree of disorganized thinking and the length of time the symptoms have been occurring
An important assessment guideline for a patient experiencing suicidal ideations is:
Asking if they have a plan
A rare reaction that some individuals may have toward 1st generation antipsychotic medications that cause increased temperature, muscle stiffness, diaphoretic.
Neuroleptic Malignant Syndrome
A potentially dangerous toxic effects that can be associated with SSRI antidepressant medications that need to be monitored for utilizing screening tools such as SHIVERS is:
Serotonin Syndrome
Diet, weather environment, exercise, intake and medications can all influence the risk of this potential side effect that could increase a patient's risk of lithium toxicity
dehydration
Patient's prescribed 1st generational antipsychotic medications should be closely monitored for these types of symptoms
EPS (extrapyramidal symptoms)
Utilizing a gun vs ingesting pills is termed as what referring to a suicidal plan?
lethality
This 2nd generation antipsychotic medication should be monitored closely as it can cause angranulocytosis
clozapine (Clozaril)
This intervention be utilized for individuals who are resistant to other types of treatments, but includes the needed for general anesthesia and induction of brief seizure like symtpoms
Electroconvulsive Therapy (ECT)
During the manic phase, a patient may not sleep, eat, or drink. What is the priority nursing diagnosis for this type of client?
Safety or Risk of injury
This has been identified as a QSEN Evidenced Based Practice which included a focus on health (overcoming disease), having a stable place to live, having a purpose (meaningful daily activities and resources to participate in society), and having a sense of community through supportive relationships and hope
Recovery Model of Mental Illness
If a person goes from moods of sadness/depressed to happy/peaceful quickly, or begins giving away items that are meaningful to them, this could be a possible indication they are: