NUR 253 Exam 1
Accepting - ANS-indicates you recognize the patient
- Saying sure
Antidepressant: MAOIs - ANS-- Isocarboxazid (Marplan)
- Phenelzine (Nardil)
- Selegiline (EMSAM)
- Tranylcypromine (Parnate)
Notes:
- Illustrates a precept that capsules can have a desired and useful effect in the mind whilst at the
same time having probable dangerous outcomes elsewhere in the body.
Tyramine: elderly cheeses, pickled or smoked fish, and wine
- Liver cannot spoil down tyramine - produces big vasoconstriction
- HYPERTENSIVE CRISIS
Contraindicated with concurrent use of any antidepressant and sympathomimetic pills (oral
decongestant)
-Give patients list of foods that needs to be averted.
Antidepressant: SNRIs - ANS-- Venlafaxine (Effexor) - more serotonergic agent at decrease
therapeutic doses, norepinephrine reuptake blockade at higher doses.
Hypertension may be brought on in about five% (depending on norepinephrine reuptake
blockade)
- Desvenlafaxine (Pristiq) - metabolite of venlafaxine.
- Duloxetine (Cymbalta):
Indicated for each despair and GAD; diabetic neuropathy; fibromyalgia
Therapeutic results on neuropathic ache (nerve damage and disorder)
Notes:
- Increases both serotonin and norepinephrine
Antidepressants: SSRIs - ANS-- Fluoxetine (Prozac) - can lead to anorexic and antibulimic
results at higher doses
, - Sertraline (Zoloft)
- Paroxetine (Paxil) - maximum anticholinergic
- Citalopram (Celexa)
- Escitalopram (Lexapro)
- Fluvoxamine (Luvox)
Notes:
- Comparable efficacy without eliciting the anticholinergic and sedating facet results that limits
affected person compliance.
- Gi tract
Side results:
- apathy and occasional libido
Antidepressants: Tricyclic antidepressants (TCAs) - ANS-Tricyclic antidepressants (TCAs):
- Nortriptyline (Pamelor)
- Amitriptyline (Elavil)
- Imipramine (Tofranil)
Notes:
- No longer the first-line medicinal drugs (more facet outcomes, takes longer to reach most
suitable dose)
- Norepinephrine and serotonin
Side outcomes:
- Anticholinergic
- Overdose can be fatal because of cardiac conduction disturbances
autonomy - ANS-right to make decisions
Behavior theory - ANS-- John Watson (1904-1990)
- discovered maladaptive environment
beneficance - ANS-do what is proper for the patient
Clinical Interview - ANS-Pace: Extremely vital to any kind of counseling is permitting the affected
person to set the tempo of the interview, regardless of now slow or halting the progress can be.
Setting: Effective conversation can take place almost everywhere.
Seating: IN all settings, chairs must be organized in order that communication can take vicinity
in regular tones of voice and in order that eye contact may be quite simply maintained or
prevented.
Accepting - ANS-indicates you recognize the patient
- Saying sure
Antidepressant: MAOIs - ANS-- Isocarboxazid (Marplan)
- Phenelzine (Nardil)
- Selegiline (EMSAM)
- Tranylcypromine (Parnate)
Notes:
- Illustrates a precept that capsules can have a desired and useful effect in the mind whilst at the
same time having probable dangerous outcomes elsewhere in the body.
Tyramine: elderly cheeses, pickled or smoked fish, and wine
- Liver cannot spoil down tyramine - produces big vasoconstriction
- HYPERTENSIVE CRISIS
Contraindicated with concurrent use of any antidepressant and sympathomimetic pills (oral
decongestant)
-Give patients list of foods that needs to be averted.
Antidepressant: SNRIs - ANS-- Venlafaxine (Effexor) - more serotonergic agent at decrease
therapeutic doses, norepinephrine reuptake blockade at higher doses.
Hypertension may be brought on in about five% (depending on norepinephrine reuptake
blockade)
- Desvenlafaxine (Pristiq) - metabolite of venlafaxine.
- Duloxetine (Cymbalta):
Indicated for each despair and GAD; diabetic neuropathy; fibromyalgia
Therapeutic results on neuropathic ache (nerve damage and disorder)
Notes:
- Increases both serotonin and norepinephrine
Antidepressants: SSRIs - ANS-- Fluoxetine (Prozac) - can lead to anorexic and antibulimic
results at higher doses
, - Sertraline (Zoloft)
- Paroxetine (Paxil) - maximum anticholinergic
- Citalopram (Celexa)
- Escitalopram (Lexapro)
- Fluvoxamine (Luvox)
Notes:
- Comparable efficacy without eliciting the anticholinergic and sedating facet results that limits
affected person compliance.
- Gi tract
Side results:
- apathy and occasional libido
Antidepressants: Tricyclic antidepressants (TCAs) - ANS-Tricyclic antidepressants (TCAs):
- Nortriptyline (Pamelor)
- Amitriptyline (Elavil)
- Imipramine (Tofranil)
Notes:
- No longer the first-line medicinal drugs (more facet outcomes, takes longer to reach most
suitable dose)
- Norepinephrine and serotonin
Side outcomes:
- Anticholinergic
- Overdose can be fatal because of cardiac conduction disturbances
autonomy - ANS-right to make decisions
Behavior theory - ANS-- John Watson (1904-1990)
- discovered maladaptive environment
beneficance - ANS-do what is proper for the patient
Clinical Interview - ANS-Pace: Extremely vital to any kind of counseling is permitting the affected
person to set the tempo of the interview, regardless of now slow or halting the progress can be.
Setting: Effective conversation can take place almost everywhere.
Seating: IN all settings, chairs must be organized in order that communication can take vicinity
in regular tones of voice and in order that eye contact may be quite simply maintained or
prevented.
