empathy - Answers the ability to understand and share the feelings of another
sympathy - Answers feelings of pity and sorrow for someone else's misfortune
tricyclic antidepressants - Answers amitriptyline (Elavil) clomipramine (Anafranil) imipramine
(Tofranil)
nortriptyline (Pamelor)
doxepin (Sinequan)
Patient teaching for Tricyclic Antidepressants - Answers Baseline EKG required before
treatment to monitor for cardiotoxicity
Caution in patient that are suicidal, toxic in doses equal to 3 wees supply
Adverse effects of TCAs - Answers sedation, weight gain, cardiotoxicity, anticholinergic effects
anticholinergic effects - Answers dry mouth
constipation
photophobia
blurred vision
Tachycardia
MAOIs - Answers phenelzine (Nardil) isocarboxazid (Marplan) tranylcypromine (Parnate)
Selegiline (Emsam Patch)
Adverse effects of MAOIs - Answers postural hypotension
insomnia
sexual dysfunction
weight gain
change of HR/rhythm
urinary hesitancy
vertigo
weakness
Symptoms of hypertension while taking MAOIs should be - Answers treated immediately
, Patient teaching for MAOIs - Answers low tyramine diet and no decongestants
Inform doctors if surgeries are scheduled
anergia - Answers lack of energy
anhedonia - Answers inability to experience pleasure
anergia and anhedonia are caused by - Answers decreased levels of norepinephrine
Vegetative signs of depression - Answers increased sleep, decreased libido, and appetite.
Vegetative depression is caused by - Answers decrease in serotonin or serotonin circuit
dysfunction
Signs of serotonin syndrome - Answers hyperactivity
tachycardia
fever
hypertension
altered mental status
irrationality
mood swings
hostility
seizures
myoclonus
tonic rigidity
apnea
myoclonus - Answers the sudden, involuntary jerking of a muscle or group of muscles
What medications are utilized while lithium ramps up to a therapeutic level? - Answers
Antipsychotics (olanzapine or haloperidol) or Benzos (lorazepam or clonazepam)
Expected side effects of lithium (0.4-1mEq/L) - Answers fine hand tremor, polyuria, mild thirst,
mild nausea, general discomfort, weight gain
Early signs of lithium toxicity (<1.5) - Answers nausea
vomiting