Diagnosis
This diagnosis involves severe symptoms impacts how the patient feels and thinks. It impacts ADL’s. Symptoms must be present for at least 2 weeks. It can involve changes in sleep, energy, and concentration.
What is MDD or Major Depressive Disorder
Phenelzine, selegiline, isocarboxzid
What are Monoamine Oxidase Inhibitors?
G/I symptoms and sexual dysfunction
What are two common side effects of SSRI's?
Suicidal ideation
Thoughts of wanting to die or kill oneself; statements indicating a desire to not wake up or be alive.
Monitor vitals, skin integrity, range of motion, hygiene, toileting, nutrition and hydration needs. Assess readiness to return to milieu.
What are interventions for clients in seclusion and restraint?
When a person is unable to feel pleasure
What is anhedonia?
Bananas, avocados, smoked meats, aged cheeses, wine and beer.
What are foods high in tyramine?
This medication can put the patient at risk for prolonged erection.
What is Trazodone (TrazoBONE)
These are methods of attempting to protect the self and cope with painful thoughts, feelings, or events.
What are ego defense mechanisms
Examples on page 42/43 of the book
Giving away possessions
a warning sign of suicide
High fever, tachycardia, persistent/severe GI symptoms, hyperreflexia.
What is Serotonin Syndrome
This medication can cause irreversible hypothyroidism
What is Lithium?
Seizure Risk
Bupropion
This focuses on discovering the causes of the client’s unconscious and repressed thoughts, feelings, and conflicts. Helps client find insight.
What is PSYCHOANALYSIS (Freud)
Another term used for a therapeutic community in mental health
What is a Mileu
Short term memory, confusion, muscle soreness
What are side effects of ECT, Electroconvulsive therapy?
Orthostatic hypotension, risk for overdose, dry mouth, sedation.
What are side effects/nursing considerations for Tricyclics?
A critical side effect when taking this medication can be a life-threatening rash.
What is a lamotrigine?
Freud developed these concepts that occur when there is displacement on a patient or a therapist.
What is transference and countertransference
This diagnosis occurs when there is one or more episode of mania accompanied by depression.
Bipolar ONE
Provide for safety
What is a priority nursing intervention for patients with depression
This mood stabilizer can cause spina bifida if taken while pregnant (Teratogenic) and should be avoided when given to women of childbearing age. Normal levels range ~50-100 mcg/ml
Valproic Acid
St. John's Wort
Over the counter supplement that raises serotonin levels
Protective factors
Children or others pt. cares for; religious or moral belief against suicide, support system
Name TWO Antihypertensives sometimes used to treat ADHD
Guanfacine and Clonidine