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NR546 Final Exam/NR546 Antidepressant and Mood Stabilizer Medication Table./ UPDATE/GET IT 100% ACCURATE!! $14.99   Add to cart

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NR546 Final Exam/NR546 Antidepressant and Mood Stabilizer Medication Table./ UPDATE/GET IT 100% ACCURATE!!

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NR546 Final Exam/NR546 Antidepressant and Mood Stabilizer Medication Table./ UPDATE/GET IT 100% ACCURATE!!

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  • October 22, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR546
  • NR546
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CodedNurse
10/22/24, 7:06 AM NR546 Final Exam/NR546 Antidepressant and Mood Stabilizer Medication Table./2024-2025 UPDATE/GET IT 100% ACCUR…




NR546 Final Exam/NR546 Antidepressant and
Mood Stabilizer Medication Table./2024-2025
UPDATE/GET IT 100% ACCURATE!!


Terms in this set (272)


Lithium
Pharmacologic Treatment
Anticonvulsants
of Bipolar Disorder
Second generation antipsychotics

major depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had
episode in last year, prevalence highest (13.1%)
among individuals aged 18-25


S/S
Unipolar depression -depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy, concentration,
or self-worth
-severe depression: may experience thoughts of
suicide or psychotic symptoms.




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,10/22/24, 7:06 AM NR546 Final Exam/NR546 Antidepressant and Mood Stabilizer Medication Table./2024-2025 UPDATE/GET IT 100% ACCUR…

Chronic condition characterized by extreme
fluctuations in mood, energy, and ability to function
-Moods may be manic, hypomanic, or depressed
and may include mixed mood or psychotic features
-many have only experienced only one manic
episode in their lifetime
Bipolar disorder (BD)
-Mood fluctuations may be separated by periods of
high stability or may cycle rapidly
-diagnosed when a client has one or more episodes
of mania or hypomania with a history of one or more
major depressive episodes
-high risk for suicide

characterized by a persistently elevated, expansive,
or irritable mood. Related symptoms may include
inflated self-esteem, increased goal-directed
activity or energy, including grandiosity, decreased
need for sleep, excessive talkativeness, racing
mania
thoughts, flight of ideas (FOI), distractibility,
psychomotor agitation, and a propensity to be
involved in high-risk activities. Mania leads to
significant functional impairment and may include
psychotic features or necessitate hospitalization

requires at least one episode of mania for at least
Bipolar Type I: one week (or any duration if hospitalization due to
symptoms is required)

diagnosis requires a current or past hypomanic
episode and a current or past major depressive
episode. Symptoms last for at least 4 days but fewer
than seven.
-Hypomanic symptoms are not of sufficient duration
or severity to cause significant functional
Bipolar Type II:
impairment, psychosis, or hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are
reluctant to report these symptoms, making bipolar
more difficult to diagnose if the client presents in
the depression phase.



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,10/22/24, 7:06 AM NR546 Final Exam/NR546 Antidepressant and Mood Stabilizer Medication Table./2024-2025 UPDATE/GET IT 100% ACCUR…

involves the chronic presentation of hypomanic and
depressive symptoms that do not meet the
Cyclothymia:
diagnostic criteria for a major depressive or
manic/hypomanic episode.

antidepressant therapy may precipitate a manic
If bipolar depression is episode or induce rapid-cycling bipolar depression
mistaken for MDD: -may contribute to the increased incidence of death
by suicide in children and adults younger than 25

Antidepressants are used monotherapy
cautiously in clients with -Antidepressants should be combined with a mood
bipolar disorder and stabilizer to prevent the onset of a hypomanic or
never as ________________. manic episode

Decreased positive affect:
depressed mood
loss of joy
DA, NE Dysfunction
lack of interest
causes what mood
loss of energy
related symptoms
decreased alertness
decreased self-confidence
appetite changes

Increased negative affect:
depressed mood
guilt
5HT, NE Dysfunction
fear/anxiety
causes what mood
hostility
related symptoms
irritability
loneliness
appetite changes

-depression occurs as a result of a deficiency of one
monoamine hypothesis or all three monoamine transmitters
of depression • serotonin, norepinephrine, and dopamine
-while mania may result from an excess




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, 10/22/24, 7:06 AM NR546 Final Exam/NR546 Antidepressant and Mood Stabilizer Medication Table./2024-2025 UPDATE/GET IT 100% ACCUR…

• Selective Serotonin Reuptake Inhibitors (SSRIs)
• Serotonin Norepinephrine Reuptake Inhibitors
Medication Management (SNRIs)
for Depression, First-Line • Norepinephrine Dopamine Reuptake Inhibitors
Treatment: (NDRI)
• Serotonin Antagonist and Reuptake Inhibitors
(SARIs)

Mechanism of action
• inhibit 5-HT reuptake
Adverse effects
SSRI's -diarrhea
-headache
-weight gain
-sexual side effects

Mechanism of action
• inhibit 5-HT reuptake
• inhibit NE reuptake (increase energy, focus)
• increase DA in prefrontal cortex (increase
cognition)
SNRI's
Adverse effects
-elevated blood pressure
-anxiety
-insomnia
-constipation

Mechanism of action
• inhibit DA reuptake (increase alertness, motivation)
• inhibit NE reuptake (increase energy)
Adverse effects
NDRI's -agitation
-headache
-dry mouth
-constipation
-weight loss

SSRI Prescribing Pearls: citalopram (Celexa)
med with mild
antihistamine effects




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