Class notes
NURS 222 Mood+Disorders+Cheat+Sheet
- Course
- MENTAL HEALTH NURS 222
- Institution
- West Coast University
Comprehensive and detailed Mood Disorders lecture note +Cheat Sheet. *Essential!! *Precise!! *For you!!
[Show more]
Content preview
Depression Cheat SheetFor Depression think <SIG E CAPS= and the phrase <2 blue weeks=
Suicidal thoughts
Interests decreased
Guilt
Energy decreased
Concentration decreased
Appetite Disturbance (increased or decreased)
Psychomotor Changes (Agitation or Retardation)
Sleep Disturbances (increased or decreased)
3 Main Neurotransmitters we will discuss for treating Depression:
Serotonin: Can help with depression, anxiety, obsessions and compulsions.
Norepinephrine: Can help with depression, alertness and energy (can increase anxiety)
Dopamine: Can help with depression, anxiety, attention, motivation, pleasure, reward
The Rule of Sixes (Main points: Antidepressants don’t work immediately, they generally need to be continued
for a period of 6+ months, and should not be stopped abruptly).
• 6 Weeks: Try a certain dose of a drug to see if there is a therapeutic effect.
• 6 Months: Once an effective dose is found, continue the treatment for at least 6 months.
• 6 Weeks: Taper off to avoid side effects (when switching medications) and withdrawal symptoms (when
discontinuing)
Antidepressant Medications
SSRIs- Prevent the reuptake of Serotonin
Side effects include the 3 S’s- Stomach upset, Sexual Dysfunction and Serotonin Syndrome (*medical
emergency*-Hyperthermia, Muscle rigidity, Diarrhea, Shivers, Seizures.)
-Fluoxetine (Prozac), Sertraline (Zoloft), Citalopram (Celexa), Escitalopram (Lexapro),
Paroxetine (Paxil)
SNRIs-Prevent the reuptake of Serotonin and Norepinephrine
-Same side effects as SSRIs, can also help with chronic pain syndromes (Ex. fibromyalgia)
-Duloxetine (Cymbalta), Venlafaxine (Effexor), Desvenlafaxine (Pristiq)
NDRIs- Prevent the reuptake of Norepinephrine and Dopamine
Wellbutrin- Can be energizing but can cause anxiety. Can increase seizure risk. Helps with focus.
TCAs- Work similar to SNRIs but with more side effects
-Overdose causes the 3 C’s: Convulsions, Cardiotoxicity, and Coma
-Imipramine( Tofranil), Amitriptyline (Elavil), Nortriptyline (Aventyl), Trimipramine (Surmontil)
MAOIs-Inhibit Monoamine Oxidase (which means it inhibits the breakdown of 5-HT, NE, DA)
-Rarely used. Avoid Tyramine Rich foods (Monoamine precursor) such as alcohol, aged cheese, liver.. these can
lead to Hypertensive Crisis.
-Phenelzine (Nardil), Isocarboxazid (Marplan), Tranylcypromine (Parnate), Selegline (Emsam)
Atypicals- Help with sleep-Desyrel (Trazodone) used almost exclusively as a sleep aid.
-Mirtazapine (Remeron) can help to increase appetite in addition to sleep.
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 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 $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now