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Exam (elaborations)

NR547 Final Exam Questions and Answers

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ethical standards to guide making ethical clinical decisions, NAADAC/NCCAP (2021) code of ethics, includes the following principles: ~ -the counseling relationship -confidentiality and privileged communication -professional responsibilities and the workplace standards -working in a culturall...

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  • August 5, 2024
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NR547 Final Exam
Questions and Answers
Medications for depression


✓~ SSRIs

SNRIs

SDRIs

TCAs

MAOIs




SSRIs


✓~ -Action: inhibit 5-HT reuptake

-Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline

-Adverse effects:

• nausea

• agitation

• diarrhea

• headache

• weight gain

• sexual side effects




SNRIs

,✓~ -inhibit 5-HT reuptake

-inhibit NE reuptake (↑ energy, focus)

-increase DA in prefrontal cortex (↑ cognition)

-Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine

-Adverse effects:

• elevated blood pressure

• nausea

• sweating

• tremors

• anxiety

• insomnia

• constipation

• anorexia

• sexual dysfunction




SDRIs


✓~ -inhibit DA reuptake (↑alertness, motivation)

-inhibit NE reuptake (↑energy)

-Adverse effects:

• agitation

• headache

• dry mouth

• constipation

• weight loss

,TCAs


✓~ -Action: inhibits the reuptake of serotonin and norepinephrine; blocks norepinephrine,

histamine, and acetylcholine receptors

-Examples: amitriptyline, clomipramine, desipramine, doxepin

-Common Side Effects:

• dry mouth

• constipation

• blurred vision

• urinary retention

• sedation

• weight gain

• hypotension

• tachycardia

• sexual dysfunction




MAOIs


✓~ -Action: increases norepinephrine and serotonin by inhibiting the enzyme that

inactivates it

-Examples: isocarboxazid, phenelzine, tranylcypromine

-Common Side Effects:

• sedation

, • dizziness

• sexual dysfunction

• hypertensive crisis




Prescribing pearls: citalopram (Celexa)


✓~ mild antihistamine effects




Prescribing pearls: escitalopram (Lexapro)


✓~ no known drug interactions




Prescribing pearls: fluoxetine (Prozac)


✓~ longest half-life




Prescribing pearls: paroxetine (Paxil)


✓~ also treats social anxiety and insomnia




Prescribing pearls: fluvoxamine (Luvox)


✓~ treats anxious depression smokers require increased dose




Prescribing pearls: sertraline (Zoloft)

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