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Antidepressant Template NUR 201(2)-1.docx - 1 The...

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1The Cincinnati State Bethesda School of NursingMental Health NursingSTUDY GUIDE on Antidepressant MedicationView Video on BB OR in LibraryMedcom Trainex VC615.788A629Directions:Preview video, fill in blanks, and submit when dueTricyclicAntidepressants (FirstGeneration)MAOIs(First Generation)SSRIs (SecondGeneration)Other SecondGeneration Agentsamitriptyline(Elavil)nortriptyline(Aventyl,Pamelor)desipramine(Norpramin)protriptyline(Vivactil)doxepin(Adaptin, Sinequan)imipramine(Tofranil)clomipramine(Anafranil)phenelzine (Nardil)tranylcypromine(Parnate)selegiline patch(EMSAM)isocarboxazid(Marplan)fluoxetine (Prozac)sertraline (Zoloft)paroxetine (Paxil)citalopram (Celexa)escitalopram(Lexapro)fluvoxamine (Luvox)SNRIsvenlafaxine (Effexor)duloxetine (Cymbalta)mirtazepine(Remeron)NDRIbupropion(Wellbutrin)NRIreboxetine (Vestra)Atypicaltrazodone (Desyrel)Other Compoundsdesvenlafaxine(Prestiq)trazadone (Desyrel)
2Major Depressionis not simply being down in the dumps.SIGNS & SYMPTOMS:a major change in one’s ability tofunctionon a day to day basispsychomotor agitation or psychomotor ________________________________difficulty thinking or concentratingdiminished interest or ________________________________in activities(anhedonia)disturbances in ________________________________, mood eating body weight,________________________________ desires, grooming, habit, energy level, and socializationSevere depression may involve thoughts of suicide or psychosis.PATHOPHYSIOLOGYThe etiology of major depressive disorder (MDD) is complex and despite recent progress, not very wellunderstood.Symptoms reflect changes in brain chemistry affecting which 3 neurotransmitters?________________________________________________________________________________________________Based on hypotheses related to our understanding of these neurotransmitters, anitdepressants aredesigned to heighten the level of a target neurotransmitter at the synapse by:boosting synthesis of the neurotransmitterblocking degradation of the neurotransmitterpreventing ________________________________ of the neurotransmitter into the presynapticneuronmimicking binding of the neurotransmitter to post synaptic receptorsChanges in brain chemistry leave the depressed sufferer susceptible to many stressors and createoverwhelming symptoms.The condition may arise slowly, making it difficult to acknowledge that thereis a serious problem requiring intervention.This is particularly true due to the stigma of mental illness.NURSING INTERVENTION1.The first intervention is simple, empathic ________________________________ andappropriate responses.The nurse assesses the whole patient and tries to get the patient to takea more active role.
32.Next is to develop a plan of care (POC) with help from the interdisciplinary team:psychiatrist,psychologist, nurse, social worker, pharmacist, etc.The patient is an active partner in the POCalong with family/friends.

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