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NURS 345 Exam 2 Questions and Solutions
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What types of drugs are used to treat depression? SSRIs, MAOIs and TCAs What are the most commonly used SSRIs? -escitalopram (Lexapro & Cipralex) -fluoxetine (Prozac) -fluvoxamine (Luvox) -citalopram (Celexa) -sertraline (Zoloft) -duloxetine (Cymbalta) -paroxetin (Paxil) What are SSRIs used to tr...

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  • August 29, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs 345 exam 2 questions and solutions
  • what types of drugs are used to treat depression
  • what are the most commonly used ssris escitalop

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  • NUR 345
  • NUR 345

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NURS 345 Exam 2 Questions and
Solutions
What types of drugs are used to treat depression? ✅SSRIs, MAOIs and TCAs

What are the most commonly used SSRIs? ✅-escitalopram (Lexapro & Cipralex)
-fluoxetine (Prozac)
-fluvoxamine (Luvox)
-citalopram (Celexa)
-sertraline (Zoloft)
-duloxetine (Cymbalta)
-paroxetin (Paxil)

What are SSRIs used to treat? ✅Depression
Anxiety
PTSD

What are adverse reactions of SSRIs? ✅Insomnia
Nervousness
Sexual dysfunction
Weight gain
Hyponatremia (older adults)
Serotonin Syndrome
Hypertensive crisis if combined w MAOI

What are the signs and symptoms of Serotonin Syndrome? ✅Think SHIVERS
Shivering
Hyperreflexia
Increased temp/Insomnia
Vital sign instability
Encephalepothy (Altered mental state)
Restlessness
Sweating

What patient teaching should be provided for SSRIs? ✅-Report signs of Serotonin
Syndrome (stop drug & call provider)
-Don't stop abruptly otherwise
-Take in the mornings
-Report nervousness, insomnia and sexual disfunction
-Avoid ibuprofen
-Eat healthy & exercise
-Increased risk of suicide
-Can take up to 4-6 weeks to work

, What are contraindications of SSRIs? ✅-taking MAOIs within 2 weeks increases risk of
serotonin syndrome
-Children < 7 YO
-Diabetics bc it can decrease glucose control
-Increases levels of tricyclics and lithium

What are Typical Antipsychotics used to treat? ✅Schizophrenia (positive symptoms
only)
Schizoaffective
Manic phases of bipolar
Substance and medication induced psychosis
-quick fix for mania

What are common Typical Antipsychotics? ✅-chlorpromazine (Thorazine)
-haloperidol (Haldol)
-fluphenazine (Modecate)

What are adverse effects of Typical Antipsychotics? ✅Extrapyramidal effects
-Akathisia
-Pseudoparkinsonism
-Tardive dyskinesia
-Neuroleptic malignant syndrome
Anticholinergic effects
Sexual dysfunction
Severe dysrhythmias
Photosensitivity

What patient education should be provided for Typical Antipsychotics? ✅-Report
symptoms of akathisia, pseudoparkinsonism, tardive dyskinesia, and neuroleptic
malignant syndrome
-Report palpitations, fainting, and sudden fevers
-chew gum or suck on hard candies to treat dry mouth
-increase fluid and fiber to prevent constipation
-urinate just before taking
-use sunscreen and sunglasses

What are contraindications for Typical Antipsychotics? ✅-Individuals w alcohol
withdrawal, bone marrow suppression, CNS depression
-Pregnancy and lactation
-caution w COPD, glaucoma, DM, HTN, Prostatic hypertrophy

What is akathisia? (symptoms, occurrence, treatment) ✅restlessness and
uncontrollable need for constant motion
-develops w/in 2 months of therapy
-treated with:

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