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Mental Health - Psychopharmacology
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Transcript of Mental Health - Psychopharmacology
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Module 7: Introduction to Psychopharmacology – Read Townsend
Bonus Chapter 1 (online oo! resource"#
Instructions: Please fll in the blanks and answer the questions in
the space provided:
1. What is the mechanism of action by which antidepressant medications
achieve the desired eect (regardless of the dierent physiological processes
by which this action is accomplished)?
Increase the concentration of norepinephrine, serotonin, and/or
dopamine in the body
. !or what m"st the n"rse be on the alert with the client who is receiving
antidepressant medication?
#s the dr"g ta$es eect the mood may shift and energy increases,patient may now have the energy to implement s"icide plan.
%. #s the n"rse, when wo"ld yo" e&pect the client to begin showing signs of
symptomatic relief after the initiation of antidepressant therapy?
It typically ta$es 1'w$s b"t it depends on the medication.
. ame an e&le of a tricyclic antidepressant* $la%il. ame an e&le of
an +#I &ardil. ame an e&le of an --I Pro'ac.
. 0escribe some common side eects and n"rsing implications for tricyclicantidepressants.
ommon side eects incl"de* dry mo"th* s"garless candy, ice fre2"ent
water sips lots of 3"ids, foods high in 4ber 5 e2"est order for 6- dose
orthostatic hypotension5 ise slowly for sitting lying positions5 +onitor for
signs 7 symptoms
ypertensi%e crisis is the most potentially life'threatening adverse eect
of +#Is. -ymptoms for which the n"rse and client m"st be on the alert
incl"de* 8iver dysf"nction, severe occipital headaches, palpitations,shortness of breath, na"sea 7 vomiting, m"scle rigidity, fever, sweating,
blood press"re increase, chest pain, coma, death if it progressed w/o
intervention
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What m"st be done to prevent these symptoms from occ"rring? (9o"r answer
m"st incl"de some e&les.)
#void foods high in tyramine li$e aged cheese li$e swiss, avoid pic$les,
herring, preserved meats, beer, wine, chocolate, yog"rt, : cold meds
and diet pills
;. 8ithi"m carbonate is commonly prescribed for ipolar mania. +any times
when these individ"als are started on lithi"m therapy, the physician also
orders an antipsychotic medication. Why might he or she do so?
#ntipsychotics are prescribed to decrease the hyperactivity on an
immediate basis "ntil the lithi"m can ta$e eect
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1%. What is tho"ght to be the mechanism of action that prod"ces the
desired eect with antipsychotic medications?
- depression
1. DhenothiaEines are an e&le of a FtypicalG antipsychotic gro"p. Aivetwo e&les of phenothiaEines and two e&les of the newer FatypicalG
antipsychotics.
:horaEine 7 proli&in risperdal 7 Eypre&a
1. 0escribe potential adverse hormonal eects associated with
antipsychotic therapy.
0ecreased libido, retrograde eHac"lation, gynecomastia, amenorrhea,
weight gain
1;. #gran"locytosis is a potentially very serio"s side eect of antipsychotic
therapy. :he n"rse and client sho"ld be on the alert for symptoms of sore
throat, )e%er, and malaise.
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