effect on norepinephrine and little affinity for cholinergic hypotension dry

Effect on norepinephrine and little affinity for

This preview shows page 36 - 46 out of 67 pages.

effect on norepinephrine and little affinity for cholinergic (hypotension dry oral secreations), histaminic, or alpha- adrenergic sites Indications Depression, OCDs, panic attacks, bulimia, PMDD, posttraumatic stress disorders, social phobias, social anxiety disorders
Image of page 36
Copyright © 2017 Wolters Kluwer • All Rights Reserved Selective Serotonin Reuptake Inhibitors (cont.) Selective Serotonin Reuptake Inhibitors (cont.) Pharmacokinetics Absorbed from the GI tract Metabolized in the liver Associated with congenital abnormalities Contraindications Known allergy, pregnancy, lactation, impaired renal function or hepatic function
Image of page 37
Copyright © 2017 Wolters Kluwer • All Rights Reserved Selective Serotonin Reuptake Inhibitors (cont.) Selective Serotonin Reuptake Inhibitors (cont.) Adverse Reactions Headache, drowsiness, dizziness, insomnia, anxiety, tremor, agitation Drug-to-Drug Interactions MAOIs TCAs increase of therapeutic and toxic effect
Image of page 38
Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for SSRI Antidepressant Agents Nursing Considerations for SSRI Antidepressant Agents Assessment: History and Physical Exam Nursing Diagnosis Implementation Evaluation Medication doesn’t work thus other docs giving more SSRI therefore can get seratonin strom
Image of page 39
Copyright © 2017 Wolters Kluwer • All Rights Reserved Miscellaneous Antidepressants Miscellaneous Antidepressants Bupropion ( Wellbutrin, Zyban ): anticholigic effects if taken for a long time Mirtazapine ( Remeron ): common SE patient is going to like to eat, lower dose given to people that need an appetite stimulants Nefazodone ( Serzone ) Trazodone ( Desyrel ): all the time to treat insomnia Venlafaxine ( Effexor )
Image of page 40
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 22: Psychotherapeutic Agents Chapter 22: Psychotherapeutic Agents
Image of page 41
Copyright © 2017 Wolters Kluwer • All Rights Reserved Psychotherapeutic Agents Psychotherapeutic Agents Used to treat psychoses – perceptual and behavioral disorders Drugs do not cure the disorder – help patients (symptoms to live in the society safely) function in a more acceptable manner and carry on activities of daily living Used in both children and adults
Image of page 42
Copyright © 2017 Wolters Kluwer • All Rights Reserved Mental Disorders and Their Classification Mental Disorders and Their Classification Schizophrenia Mania/Bipolar Disease Narcolepsy Attention-Deficit Disorder
Image of page 43
Copyright © 2017 Wolters Kluwer • All Rights Reserved Schizophrenia Schizophrenia Characteristics Hallucinations, paranoia, delusions, speech abnormalities, and affective problems Causes Strong genetic association May reflect a fundamental biochemical abnormality
Image of page 44
Copyright © 2017 Wolters Kluwer • All Rights Reserved Mania/Bipolar Illness Mania/Bipolar Illness Characteristics Mania: Periods of extreme overactivity and excitement Bipolar illness: (2)Extremes of depression followed by hyperactivity and excitement (manic) these symptoms do not have these two feelings in the same time frame Cause May reflect a biochemical imbalance followed by overcompensation on the part of neurons and their inability to re-establish stability
Image of page 45
Image of page 46

You've reached the end of your free preview.

Want to read all 67 pages?

  • Fall '19
  • Mark Daco
  • Selective serotonin reuptake inhibitor, Antidepressant, Wolters Kluwer Health

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture