100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Nr546 Week 5 /Nr 546 Week 5 Test Your Knowledge Exam 2024 $7.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Nr546 Wk 5 /Nr 546 Wk 5
  4.  
  5. Nr546 Wk 5 /Nr 546 Wk 5

Exam (elaborations)

Nr546 Week 5 /Nr 546 Week 5 Test Your Knowledge Exam 2024
 0 purchase
  • Course
  • Nr546 Wk 5 /Nr 546 Wk 5
  • Institution
  • Nr546 Wk 5 /Nr 546 Wk 5

Nr546 Week 5 /Nr 546 Week 5 Test Your Knowledge Exam 2024 5HT, NE Dysfunction causes what mood related symptoms - ANSWER-Increased negative affect: depressed mood guilt fear/anxiety hostility irritability loneliness appetite changes

Preview 4 out of 34  pages

Document information

  • September 8, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nr546 week 5
  • nr546 week 5 nr 546 week 5 test your knowledge ex
  • nr 546 week 5 test your knowledge ex

Written for

  • Nr546 Wk 5 /Nr 546 Wk 5
  • Nr546 Wk 5 /Nr 546 Wk 5

Seller

avatar-seller
NURSING2EXAM

Reviews received

Content preview

Nr546 Week 5 /Nr 546
Week 5 Test Your
Knowledge Exam 2024




5HT, NE Dysfunction causes what mood related symptoms - ✔✔✔ANSWER-
Increased negative affect:
depressed mood
guilt
fear/anxiety
hostility
irritability
loneliness
appetite changes

,90% of serotonin receptors are in the __________ and _________ are within the
brain - ✔✔✔ANSWER-GI tract, only 10%
*which causes GI side effects


Acute agitation in mania may be treated with: - ✔✔✔ANSWER-rapid-acting oral,
inhaled, or IM antimanic agents


Adjunct treatment for depression - ✔✔✔ANSWER-Antipsychotic medications are
sometimes prescribed at low doses as adjunctive medications for severe depression


Alpha-1 adrenergic effects - ✔✔✔ANSWER-Orthostatic hypotension


Anticholinergic effects - ✔✔✔ANSWER-Dry mouth
Blurred vision
Urinary retention
Constipation


Antidepressants are used cautiously in clients with bipolar disorder and never as
________________. - ✔✔✔ANSWER-monotherapy
-Antidepressants should be combined with a mood stabilizer to prevent the onset of
a hypomanic or manic episode


Antidepressants Important Prescribing Considerations: Black Box Warning -
✔✔✔ANSWER-Suicide Risk with Antidepressant Drugs
-Clients with depression may consider or attempt suicide
-risk for suicide may increase at the start of treatment

,-Antidepressant-induced suicide is more prevalent in children, adolescents, and
adults younger than 25 years.


Antidepressants Important Prescribing Considerations: Drug-Drug Interactions -
✔✔✔ANSWER-Most antidepressant medications have serious drug-drug
interactions. Carefully review the client's history and current prescriptions before
selecting a medication.


Antidepressants Important Prescribing Considerations: Serotonin Syndrome -
✔✔✔ANSWER-potentially life-threatening condition reported with the use of
serotonergic antidepressants
-especially when they are used concomitantly with other serotonergic drugs (such
as triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan,
buspirone, and St. John's Wort), and with drugs that impair serotonin metabolism
(particularly MAOIs)


S/S
-mental status changes (e.g., agitation, hallucinations, delirium, and coma)
-autonomic instability (e.g., tachycardia, labile blood pressure, dizziness,
diaphoresis, flushing, hyperthermia)
-neuromuscular symptoms (e.g., tremor, rigidity, myoclonus, hyperreflexia,
incoordination)
-seizures, and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea)


If such symptoms occur, clients should discontinue serotonergic agents and initiate
treatment of symptoms.


Clients should be educated about the signs and symptoms of serotonin syndrome
and monitored

, -particularly during treatment initiation and dose increases.


Antidepressants Lifespan Considerations: Breastfeeding - ✔✔✔ANSWER-Infant
irritability should be monitored when SNRIs are prescribed.


Antidepressants Lifespan Considerations: Children - ✔✔✔ANSWER-
Antidepressants increase the risk of death by suicide in children and adults younger
than 25.


Antidepressants Lifespan Considerations: Older Adult - ✔✔✔ANSWER--Older
adults may not respond to antidepressants as robustly as younger people if the first
episode of depression occurs after age 65.
-Citalopram and escitalopram should be dosed at 1/2 dose due to the risk of QTc
prolongation.
-2019 American Geriatric Society (AGS) Beers Criteria include the following
recommendations:
• Avoid paroxetine in clients with a history of falls/fractures.
• Avoid tricyclic antidepressants prescribed with other central nervous system
(CNS) depressants.


Antidepressants Lifespan Considerations: Pregnancy - ✔✔✔ANSWER-Paroxetine
is contraindicated in pregnancy due to the risk of congenital defects, including
atrial septal defects.


Antidepressants: Discontinuing Medications - ✔✔✔ANSWER-Don't suddenly
stop or omit doses due to risk of discontinuation syndrome
-Paroxetine highest risk due to serotonin transporter inhibition and anticholinergic
rebound

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSING2EXAM. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67479 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$7.99
  • (0)
Add to cart
Added