CH 14 Unit III A depressive disorders

Hypersomnia

Which assessment finding in a patient with major depression represents a vegetative sign?

"You look really sad. Have you ever thought of harming yourself?"

Which question would be a priority when assessing for symptoms of major depression?

Escitalopram (Lexapro)

Your patient was just diagnosed with a major depressive disorder. What medication do you anticipate the health care provider will start the patient on?

Disruptive Mood Dysregulation Disorder

a childhood disorder marked by severe recurrent temper outbursts along with a persistent irritable or angry mood

premenstrual dysphoric disorder

a disorder marked by repeated experiences of significant depression and related symptoms during the week before menstruation

deep brain stimulation (DBS)

a treatment procedure for depression in which a pacemaker powers electrodes that have been implanted in Brodmann Area 25, thus stimulating that brain area

vagus nerve stimulation

a treatment procedure for depression in which an implanted pulse generator sends regular electrical signals to a person's vagus nerve; the nerve then stimulates the brain

transcranial magnetic stimulation

a treatment that involves placing a powerful pulsed magnet over a person's scalp, which alters neuronal activity in the brain

ex. of MAOIs

phenelzine (nardil) tranylcypromine (parnate)

Serotonin Syndrome

rare and life-threatening event associated with SSRIs

electroconvulsive therapy (ECT)

severe depression w/ r/o suicidal or poor food and fluid intake, poor response to antidepressants, psychotic features,

mood

subjective experience of sustained emotions and feelings

lithium

the nurse administers each of the following drugs to various patients. the patient should be most carefully assessed for fluid and electrolyte imbalance is the once receiving

anhedonia

without happiness or pleasure

dysthymic disorder (DD)

A mild to moderate mood disturbance characterized by a chronic depressive syndrome that is usually present for many years. The depressive mood disturbance is hard to distinguish from the person's usual pattern of functioning, and the person has minimal social or occupational impairment. not hospitalized

Psychomotor retardation

A patient with major depression walks and moves slowly. Which term should the nurse use to document this finding?

Light therapy (phototherapy)

Circadian rhythms reset Used for seasonal depression

Selective Serotonin Reuptake Inhibitors (SSRIs)

First-line antidepressants that increase serotonin

St. John's Wort

Hypericum perforatum

Somatic complaints of depression

Pain. Constipation. Chronic fatigue. Insomnia. Decreased libido. Anorexia. Slow movement. Slow speech

thought processes

ability to solve problems and think clearly is negatively affected

ex. of tricyclic antidepressants

amitriptyline (Elavil)

Major Depressive Disorder (MDD)

persistent depressed mood lasting a minimum of two weeks

continuation phase (4-9 months)

duration 4-6 months goal is to prevent relapse as symptoms continue to decline and functionality improves

maintenance phase (1 year or more)

duration: 3 months or longer goal is to prevent recurrence of a new depressive episode

acute phase (6-12 weeks)

duration; about 3 mos goal is complete recovery from s/s of acute episode

Dysthymia

feeling of depression persist consistently for at least 2 years, any age; symptoms difficult to live with but do not require hospitalization "low level depression" may also have periods of full blown depression

ex. of SSRIs

fluoxetine (Prozac) citalopram (Celexa) escitalopram (Lexapro)

MAOIs

food and drug interactions

tricyclic antidepressants

increase norepinephrine and serotonin

MAOIs

increase norepinephrine, serotonin, dopamine

anergia

lack of energy

affect

outward appearance presented