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Final Exam: NR547/ NR 547 Exam Review| Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers (New Update 2023/ 2024) - Chamberlain $23.99   Add to cart

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Final Exam: NR547/ NR 547 Exam Review| Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers (New Update 2023/ 2024) - Chamberlain

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Final Exam: NR547/ NR 547 Exam Review| Weeks
5-8 Covered| Complete Guide with Questions and
Verified Answers (New Update 2023/ 2024) -
Chamberlain

Medications for depression - ANSWER--SSRIs

SNRIs

SDRIs

TCAs

MAOIs



SSRIs - ANSWER---Action: inhibit 5-HT reuptake

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

-Adverse effects:

• nausea

• agitation

• diarrhea

• headache

• weight gain

• sexual side effects



SNRIs - ANSWER---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

,Final Exam: NR547/ NR 547 Exam Review| Weeks
5-8 Covered| Complete Guide with Questions and
Verified Answers (New Update 2023/ 2024) -
Chamberlain

• tremors

• anxiety

• insomnia

• constipation

• anorexia

• sexual dysfunction



SDRIs - ANSWER---inhibit DA reuptake (↑alertness, motivation)

-inhibit NE reuptake (↑energy)

-Adverse effects:

• agitation

• headache

• dry mouth

• constipation

• weight loss



TCAs - ANSWER---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

,Final Exam: NR547/ NR 547 Exam Review| Weeks
5-8 Covered| Complete Guide with Questions and
Verified Answers (New Update 2023/ 2024) -
Chamberlain

• weight gain

• hypotension

• tachycardia

• sexual dysfunction



MAOIs - ANSWER---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) - ANSWER--mild antihistamine effects



Prescribing pearls: escitalopram (Lexapro) - ANSWER--no known drug interactions



Prescribing pearls: fluoxetine (Prozac) - ANSWER--longest half-life



Prescribing pearls: paroxetine (Paxil) - ANSWER--also treats social anxiety and insomnia



Prescribing pearls: fluvoxamine (Luvox) - ANSWER--treats anxious depression smokers require increased
dose

, Final Exam: NR547/ NR 547 Exam Review| Weeks
5-8 Covered| Complete Guide with Questions and
Verified Answers (New Update 2023/ 2024) -
Chamberlain

Prescribing pearls: sertraline (Zoloft) - ANSWER--also treats social anxiety and hypersomnolence



Prescribing pearls: bupropion (Wellbutrin) - ANSWER--NDRI may improve energy, alertness, and
motivation; not first line treatment for anxiety; contraindicated in clients with a history of seizures



Prescribing pearls: duloxetine (Cymbalta) - ANSWER--effective for atypical pain at higher doses;
appropriate for clients who present with somatic symptoms of depression; effective for atypical pain,
such as fibromyalgia and diabetic neuropathy



Prescribing pearls: venlafaxine (Effexor) - ANSWER--treats both depression and anxiety disorders, ensure
trial of higher dose before switching to a different medication



Prescribing pearls: desvenlafaxine (Pristiq) - ANSWER--effective for perimenopausal vasomotor
symptoms



considered when selecting a medication: - ANSWER---Client preference

-Prior treatment response

-Anticipated adverse effects

-Comorbidities

-Half-life and interactions

-Cost



if a medication is not achieving efficacy: - ANSWER---Increase dose gradually

-Switch to a different drug within the same class

-Switch to drug in a different class

-Add a second medication

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