Exam (elaborations)
FA Davis Psychiatric Mental Health Nursing Exam 2.
- Module
- Basic Human Nutrition Final
- Institution
- Basic Human Nutrition Final
FA Davis Psychiatric Mental Health Nursing Exam 2.
[Show more]
Seller
Follow
Content preview
FA Davis Psychiatric Mental HealthNursing Exam 2
What disorder goes hand in hand with mood disorders? - ANS-ANXIETY
Comorbidities:
*substance abuse
*schizophrenia
*eating disorders
Medical diagnoses often concurring with depression - ANS-*diabetes
*cancer
*stroke
*epilepsy
*cardiac disease
Serotonin Syndrome - ANS--caused by excess intra-synaptic serotonin
- occurs from combining serotonin enhancing drugs
-occurs from administering SSRIs too close to the discontinuation of MAOIs
Serotonin Syndrome Symptoms - ANS--mania
-ataxia, myoclonus (muscle twitiching)
-nausea
-Diarrhea
-Tremors
-headache, confusion
-diaphoresis
-restlessness
-hyper-reflexia (over responsive reflexes)
Serotonin syndrome treatment - ANS-discontinue all serotonin medication and provide
symptomatic support
Electroconvulsive Therapy (ECT) - ANS-- grand mal seizure caused by electrical
currents via electrodes applied to temples
-unilateral application for fever cognitive SE
-bilateral application for severally ill
Indications for ECT - ANS--postpartum psychosis
, -need for rapid response
-severe Major Depression (90%)
-prior positive responses to ECT
-depression with psychotic features
- failure of meds and/or psychotherapy
-Bi-polar disorder unresponsive to medication
-Schizophrenia with catatonic or affective symptoms
Preparing pts for ECT - ANS--void
-remove prostheses
-no NPO 6-8 hrs prior to treatment
-Pretreatment lab tests
Pre ECT Medications - ANS--Iv injection of anesthetic (brevital sodium)
-IV injection of muscle relaxant (succinylocholine-anctine 25-75 mg)
Risk of Suicide - ANS--prior episodes of depression
-family history of depression
-prior suicide attempts
-female gender
-medical co-morbidities
-lack of social support
-stressful life events
-personal history of sexual abuse
-current susbstance disorder
What is important for a nurse to assess when she has a depressed patient? -
ANS-Assess for suicide ideation
How do we assess suicide? - ANS-Ask directly about any suicidal thinking, impulses or
past attempts, and personal/family history of suicide attempts. Ask if they have a plan, is
it well thought and can pt carry through?
Suicidal "Gestures" - ANS-Act that may be interpreted as attention seeking rather and
actually self-destrucitve ex. cutting
Suicidal "threat" - ANS-Any verbal or behavioral clue that suicide is being contemplated.
Threats may be implied or explicit.
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card for the summaries. There is no membership needed.
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 denicetho. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.16. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now