Miscellaneous
Name a recent event our patient experienced that made her start to feel the way she has been feeling
- Her daughter past away in a car crash
-Her daughter went away to college
St Johns Wort is FDA approved
FALSE
What medication class is Citalopram in?
Selective Serotonin Reuptake Inhibitor (SSRI)
What was our first nursing diagnosis?
Risk for suicide AEB pt stating "I just don't have the desire to win" and vague suicidal ideations
The best time to take Trazodone is at night with food
TRUE
What is the black box warning for Citalopram?
Risk for suicide
When is the patient most at risk for suicide?
At discharge / having more energy after starting new medications
SSRIs takes 4-6 hours to reach therapeutic effect
FALSE
- 4-6 weeks
Why is our patient ordered Trazodone?
Trouble sleeping
How old was our patient?
49
Venlafaxine can be prescribed for anxiety
TRUE
What are the 6 rights to medication administration
Right patient, medication, dose, route, time, documentation
A patient who takes Metoprolol, Citalopram, and St Johns Wort starts to experience muscle tremors while at work. What should the patient do and why?
Call the provider because they might have serotonin syndrome
Trazodone takes 1-2 hours to start working
False! 30-60 minutes
List 5 S/S serotonin syndrome
-agitation
-pressured speech
-tachycardia
-diarrhea
-tremors
-clonus
-fever
-seizure
-hyperreflexia
-mydriasis
- shivering