ExamI1:INURSI663/INURS663I(New
Update)IPsychiatricIMentalIHealthI
DiagnosisIandIManagementIIIIReviewIwithI
QsI&IAs|I100%ICorrect|IGradeIAI(Verified
IAnswers)-IMaryville
QUESTION
ParoxetineI(Paxil)
Answer:
SSRIIantidepressant
-shortIhalfIlifeI(goodIinIcaseImaniaIpopsIup)
-IcanIbeIsedating,IsoIconsiderIdosingIatInightItoIhelpIsleep
SE:ImostIanticholinergicISSRI,I↑↑sexualIdysfunction
IInhibitsIantipsychotics
***SIGNIFICANTI2D6Iinhibition
canIcauseIdiscontinuationIsyndromeI(nausea,Ivertigo)
QUESTION
SertralineI(Zoloft)
Answer:
SSRI
antidepressant
treatsImajorIdepressiveIdisorder,IpanicIdisorder,IOCD,IPTSD,IsocialIphobia,IPMDD
contraindicatedIwithIMAOI
,AdverseIreactions:IneurolepticImalignantIsyndrome,IsuicidalIthoughts,IseratoninIsyndrome
commonIsideIeffects:Idizziness,Idrowsiness,Ifatigue,Iheadache,IinsomniaIdiarrhea,IdryImouth,I
nausea,IsexualIdysfunction,sweating,Itremors
Pros:
**IshortIhalf-life
**IlessIsedatingIthanIparoxetine
**IveryIweakICYPI450IinteractionsI(veryIslightI2d6)
Cons:
**IrequiresIfullIstomachIforImaxIabsorption
**IlotsIofIGIIaffects
QUESTION
FluoxetineI(Prozac)
Answer:
Antidepressant,ISSRI's
-IlongIhalfIlifeI(mustIhaveI5IweeksIbetweenIthisIandIMAOI)
canIbeIactivating,IwhichIcanIhelpIwithIenergy
canIuseIwhenItaperingIoffIotherISSRIItoIhelpIminimizeIdiscontinuationIsyndrome
notIaIgoodIoptionIforIhepaticIpatientsI(d/tIlongIhalfIlife)
***IaIlotIofIcypI450Iinteractions,IsoInotIaIgoodIoptionIwithIotherImeds
watchIforImaniaIsinceIactivating
QUESTION
EscitalopramI(Lexapro)
,Answer:
Antidepressant,ISSRI:I10-20ImgIqd
canIcauseIQTIprolongationI(especiallyIinIdosesI>20mg)
minimalIdrug-drugIinteractions
QUESTION
whatImedicationsIcanIcauseISIADH?
Answer:
carbamazepine
SSRIsI
amitriptyline
morphine
QUESTION
howIisISIADHIreflectedIinIlabIvalues?
Answer:
decreasedIserumIosmolalityI(increasedIserumIvolume)
increasedIurineIosmolalityI(decreasedIurineIvolume)
QUESTION
whatItwoImedicationsIareImostIlikelyItoIcauseIdiscontinuationIsyndrome?
Answer:
paroxetineI(paxil)IandIvenlafaxineI(effexor)
--IshortIhalfIlives
, QUESTION
whichISSRIsIhaveInoIsexualIsideIeffects
Answer:
mirtazapine,Inefazadone,Ibuproprion
QUESTION
whichIantidepressantsIareImoreIactivating?
Answer:
bupropion,Ivenlafaxine,Ifluoxetine
QUESTION
whichIantidepressantsIareImoreIsedating?
Answer:
trazodone,ITCAs,Iparoxetine,Imirtazapine
QUESTION
whichIantidepressantsIareImoreIassociatedIwithIweightIgain?
Answer:
Mirtazapine
Paroxetine
TCA's
QUESTION
whichIantidepressantsImightIbeIassociatedIwithIweightIloss?
