EXPECTED Alters the effects of serotonin in the CNS.
PHARMACOLOGICAL
ACTION:
Therapeutic Uses
Antidepressant action, which may develop only over several
weeks.
Adverse Effects Nursing Interventions
-CNS: Suicidal Thoughts, drowsiness, confusion,dizziness, fatigue, -Monitor BP and pulse rate before and
hallucinations, headache, insomnia, nightmares during therapy
-EENT: Blurred vision -Assess for possible sexual dysfunction
-CV: Hypotension, arrhythmias, chest pain, hypertension -Assess for serotonin syndrome
-GI: dry mouth,altered taste, constipation,diarrhea, excessive salivation
-Assess for suicidal tendencies, especially
during early therapy
-Assess CBC and renal hepatic function
before and periodically during therapy
Contraindications
-Hypersensitivity; recovery period after MI
-Concurrent with ECT
-May increases risk of suicide attempt/ ideation especially
during early treatment Client Education
-Instruct patient to take medication as
directed.
-May cause drowsiness and blurred vision.
Medication/Food Interactions Caution patient to avoid driving or other
activities requiring alertness.
-Drug-Drug: Serious potentially fatal reactions; - Caution patient to change positions slowly
hyperthermia,rigidity, autonomic instability, fluctuating vital to minimize orthostatic hyportension
signs and extreme agitation, coma and delirium -Advise patient and family to look for
suicidality . Notify healthcare provider.
Medication Administration Evaluation of Medication
Effectiveness
Depression: PO (adults)- 150mg/day TID
Insomnia: PO (adults)- 25-100mg at bedtime Resolution of depression
Increased sense of well being
Renewed interest of surroundings
Increased appetite
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 or Stuvia-credit 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 anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
