NU 641 Mental Health Anridepressants Test Questions with All Correct Answers
5 views 0 purchase
Module
NU 641 Mental Health Anridepressants
Institution
NU 641 Mental Health Anridepressants
NU 641 Mental Health Anridepressants Test Questions with All Correct Answers
When are SNRIs usually used? - Answer- Typically used with MAJOR depression
bipolar, GAD, social phobia and PTSD
What antidepressant does not case weight gain or sexual dysfunction? - Answer- Bupropion (Wellbutrin,...
nu 641 mental health anridepressants test question
when are snris usually used
Written for
NU 641 Mental Health Anridepressants
NU 641 Mental Health Anridepressants
Seller
Follow
Scholarsstudyguide
Reviews received
Content preview
NU 641 Mental Health Anridepressants
Test Questions with All Correct Answers
When are SNRIs usually used? - Answer- Typically used with MAJOR depression
bipolar, GAD, social phobia and PTSD
What antidepressant does not case weight gain or sexual dysfunction? - Answer-
Bupropion (Wellbutrin, Wellbutrin SR, Wellbutrin XL)
What is the name of Bupropion used for smoking cessation? - Answer- Zyban
What is the name of only tetracyclic antidepressant? - Answer- Mirtazapine (Remeron,
Remeron Solutabs)
What is the only SSRI approved for OCD? - Answer- Fluvoxamine (Luvox) is approved
for OCD
SSRIs ADR's: - Answer- CNS, GI, Sexual dysfunction (up to 35% of pts)
Caution in patients with severe hepatic or renal impairment
What important education is needed when SSRIs are first prescribed? - Answer-
Educate that SSRIs do not work right away. Pts may often feel worse and then batter.
Adherence - may take 3-4 weeks until full therapeutic effect
Suicide risk due to feeling worse-
SSRIs and pregnancy - Answer- Pregnancy: Category B/C
Recommended to avoid in 1st and last trimesters
WHat is the only SSRIs recommended to use in pregnancy? - Answer- Risk/benefit:
Sertraline (Zoloft) been used w/o adverse consequences. Is more safe than others but
still not the safest.
SSRIs monitoring - Answer- Close monitoring in first 2-3 weeks, Never give more than 4
wks for first prescription
What kind of initial side effects do occur with SSRIs? - Answer- Initial side effects -
nausea , light-headedness, sedation, muscle restlessness and sleep disruptions -
should be minor and transient
, MOA of Mirtazapine (Remeron) - Answer- tetracyclic antidepressant, central presynaptic
alpha2-adrenergic antagonist effects, which results in increased release of
norepinephrine and serotonin, Also histamine antagonist
Murtazapine ADRs - Answer- VERY Sedating. Has to be given at night
Causes weight gain, sometimes used in elderly for this reason
Trazadone MOA and indications - Answer- Trazadone (Desyrel)
Inhibits reuptake of serotonin, also significantly blocks histamine (H1) and alpha1-
adrenergic receptors
Indications: Depression, mainly used for sleep (off-label)
Black Box Warning Suicide risk for all antidepressants - Answer- As of 2007, all
Antidepressants FDA Black Box Warning
Increased risk of suicidal thought and behavior
Children, adolescents, young adults to age 24
Closely monitor patients for clinical worsening, suicidality, or unusual changes in
behavior, particularly during the initial 1-2 months of therapy or during periods of dosage
adjustments (increases or decreases); the patient's family or caregiver should be
instructed to closely observe the patient and communicate condition with healthcare
provider. A medication guide concerning the use of antidepressants should be
dispensed with each prescription.
Why TCAs are not first line treatment? - Answer- Nonselective (more side efffects)
Norepinephrine-Serotonin Reuptake Inhibitors
Equally efficacious as other antidepressants but have greater side effects,
less safe in suicidal population-overdose can be fatal
TCAs MOA - Answer- Inhibit reuptake of serotonin and norepinephrine at presynaptic
neuron
Also act on histamine (drowsiness, weight gain) and acetylcholine
TCAs are Contraindicated/caution in - Answer- Contraindicated/caution in
cardiovascular disorders, glaucoma, prostatic hypertrophy, or urinary incontinence,
seizure disorders, elderly
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 Scholarsstudyguide. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £10.26. You're not tied to anything after your purchase.
