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Varcarolis' Foundations of Psychiatric Mental Health Nursing: A Clinical Approach | Registered Nurse (RN) School Study Aid


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14. Depressive Disorders
12 Picmonics to Learn | 21 mins

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Depression Assessment
Physical Changes
Anergia
Self Neglect
Decreased Libido
Vegetative Signs
Mood
Sad Affect
Worthlessness
Guilt
Anger and Irritability
Cognitive
Ineffective Problem Solving
Slowed Thinking
1 min
SIG E CAPS for Major Depressive Disorder (MDD)
SIG E CAPS Acronym
Sleep Problems
Interest Deficit
Guilt or Worthlessness
Energy Loss or Fatigue
Concentration Difficulty
Appetite Changes
Psychomotor Retardation or Agitation
Suicidal Ideation
Diagnosis
5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
2 mins
Suicide Risk Factors
Depression
Previous Attempt
No Support System
Access to Firearms or Medications
Substance Abuse
Physical or Sexual Abuse
Chronic Illness or Pain
Extremes of Age
2 mins
Suicide Assessment
SAD PERSONS Scale
Verbal Cues
Direct (Overt) Statements
Indirect (Covert) Statements
Behavioral Cues
Giving Away Prized Possessions
Sudden Improvement in Mood
Putting Personal Affairs in Order
Lethality of Plan
Detail of Plan
Availability of Means
Proposed Method
Suicide Precautions
Safe Environment
One-on-One Monitoring
No Suicide Contract
2 mins
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
Indications
Depression
Anxiety
Mechanism of Action
Selective Serotonin Reuptake Inhibitors
Drugs
Paroxetine
Sertraline
Escitalopram
Fluoxetine
Side Effects
Sexual Dysfunction
Serotonin Syndrome
Treat with Cyproheptadine
2 mins
Fluoxetine (Prozac)
Mechanism of Action
Inhibits Reuptake of Serotonin
Indications
Depression
Side Effects
Sexual Dysfunction
CNS Stimulation
Weight Changes
Serotonin Syndrome
Contraindications
No MAO-Is
No Anticoagulants / Antiplatelets
Considerations
Suicide Risk
Delayed Onset of Action
2 mins
Tricyclic Antidepressants (TCAs)
Mechanism of Action
Inhibits Reuptake of Norepinephrine and Serotonin
Indications
Depression
Bipolar Disorder
Fibromyalgia
Side Effects
Sedation
Orthostatic Hypotension
Anticholinergic Effects
Cardiac Toxicity
Considerations
Delayed Effect
Do Not Stop Abruptly
2 mins
Tricyclic Antidepressants (TCAs) Indications
Indications
Major Depression
Bedwetting
Fibromyalgia
OCD
Drugs
-Iptyline or -Ipramine Suffix
Amitriptyline
Desipramine
Clomipramine
Imipramine
Nortriptyline
2 mins
Tricyclic Antidepressant (TCA) Antidote
Antidote
Sodium Bicarbonate (NaHCO3)
26 secs
Monoamine Oxidase Inhibitors (MAO-Is)
Indications
Atypical Depression
Mechanism of Action
Increase Levels of Amine Neurotransmitters
Drugs
"Takes Pride In Shanghai"
Tranylcypromine
Phenelzine
Isocarboxazid
Selegiline
1 min
Monoamine Oxidase Inhibitor (MAOI) Contraindications
Contraindications
Wine and Cheese
Hypertensive Crisis
Serotonin Drugs
Serotonin Syndrome
1 min
Major Depressive Disorder with Peripartum Onset
Diagnostic Criteria
Sleep Problems
Interest Deficit
Guilt or Worthlessness
Energy Loss or Fatigue
Concentration Difficulty
Appetite Changes
Psychomotor Retardation or Agitation
Suicidal Ideation
5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
Onset No Later Than 1 Year After Delivery
2 mins

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