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psychiatric disorders- adult NP examine latest update 100% correct solutions
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psychiatric disorders- adult NP examine latestupdate 100% correct solutions
what controls moods - Answer norepinephrine; dopamine- wake up, make you move,
worry, type A
serotonin- pleasure, happy, laugh
Major depressive - Answer missing all three - need refered
Serotonin - Answer increase sarotonin
decreased-impulsivity, sex drive, aggression
increased- appetite
Dopamine/norep - Answer increase these - increased vigilance, motivation
depression - Answer 10% of population, public health problem, predictor of functional
disability, major economic consequences
screening depression -Answer hallmark of depression is loss of interest or pleasure in
activities, 2nd question do you fell down, depressed, hopeless
Depression evaluation -Answer history and physical, labs- CBS, electrolytes, tsh, b12,
folate, EKG
Major depression -Answer 5 or more symptoms present most of day every day for 2
weeks or more- 9 characeristics- SIG: E CAPS
SLEEP, INT, GUILT, ENERGY, CONCENTRATION difficulties, APPETITE,
PSYCHOMOTOR agitation or irritation, SUICIDALITY
, Dysthymic Disorder -Answer depressed mood for at least 2 years- never reach level of
pure depression patient- never reach their potential
2 or more of the following symptoms
decreased or increased appetite
insomnia, hypersomnia, low energy, poor self esteem, poor concentration,
hopelessness
Adjustment disorder with depressed mood -Answer occurs as a result of a psychosocial
stress (not bereavement)
not classified as a mood disorder
depressed mood as a response to stressor
resolve in 6 months after stressor ends
minor depression - Answer at least 2-4 of SIG: E CAP screen
usually with Co-morbidy
anxiety, dementia, eating disorders, sleep disorders, substance abuse, chronic
diseases, major neurological disorders.
SSRI - Answer increase sarotonin circulating in the brain- dysthymia, OCD, anxiety- also
have week NE and dopamine effect, less side effects
citalopram
fluoxetine
paroxetine
sertraline
fluvoxamine
Bupropion - Answer Dopa/Norepi RI- 9 hr extended 29 hr-no weight gain, no drowsiness,
no orthostatic hypotension, no sexual disfunction- Bupropion, preferred in PTSD, low
abuse potential
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