Mental Final - Exam 3 Flashcards Preview

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Flashcards in Mental Final - Exam 3 Deck (33):
1

MDD

5 symptoms that occur every day over a 2 week period

2

Dysthymic disorder

2 symptoms over 2 years (1 year for children) of depressed mood

3

This therapy is used for major depression patients who are suicidal and aren’t responding to medication.

ECT

4

ECT is used for what conditions

Depression and Bipolar

5

ECT

Increases Serotonin and causes unilateral Grand Mal seizures.

6

ECT contraindications

ICP, Tumors, Recent MI/CHF, Children

7

Side effects of ECT

Temporary memory loss, confusion, disorientation

8

Nursing responsibilities for ECT

Obtain consent, vitals, labs/xrays, and ADMINISTER Robinul

9

Sign that ECT is working

Big Toe Flex

10

Where is ECT normally given?

Outpatient

11

When is ECT given inpatient?

High risk for suicide

12

Intervention for ECT

Reorient patient

13

Frequency of ECT

Total of 6-12 for 2-3 times a week.

14

Robinul's effect for ECT

Prevents Aspiration

15

Bipolar I

Mania and Major Depression

16

Bipolar II

Hypomania and Major Depression

17

What meds are given for Bipolar?

Anticonvulsants, Antianxiety (Klonopin), and Lithium

18

Lithium

First line med for Bipolar depression and acute mania. Enhances reuptake of neurotransmitters and decreases sodium in kidneys. therapeutic range is 0.6-1.2mEq/L. Toxicity >1.7

19

Therapeutic side effect of lithium

Fine hand tremors, thirst, nausea, weight gain

20

Patient education for lithium

Don't restrict sodium, 3000mL fluid intake, and contact MD if V/D occur

21

What medication should not be given with lithium

Diuretics

22

What organs does Lithium affect?

Kidney, thyroid

23

How long does it take for Lithium to work?

7-14 days. Must give another med until it starts working

24

Interventions for Bipolar manic patients

Reduce stimuli, LIMIT GROUP activities, 1 on 1.

25

Medications for ADHD

Adderal, Ritalin (Concerta - Long Acting), and Strattera (No need for drug holiday)

26

When do hunger sensations decrease with this disorder?

↓200 CALORIES DAILY

27

What observations characterize a bulimic patient?

Dental Erosion (vomiting), parotid gland enlargement (frequent use)

28

Meds for anorexics

Antidepressants

29

Intervention for Anorexics

Offer high calorie/protein snacks throughout the day

30

First line treatment for Panic disorders

SSRI's

31

Medication used to treat social anxiety disorders

Propanolol

32

TCA side effects that require medical attention

Constipation and Urinary Retention

33

How long should SSRI's be discontinued before taking MAOI's

2-5 weeks