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Pharmacology Quiz - ANTIDEPRESSANTS - SSRIs, SNRIs, TCAs, MAOIs, *part 4*

so I know that was like the Big Mama of lectures all your antidepressants so let's go over the top patient education that's going to be on your quiz because honestly we can know everything about everything or try to know everything about everything but you guys can't remember everything really it's like you're in a cash box and you're trying to get all the cash but you can only hold so much so let's go over the top of the top what we need to know for your quiz and I can probably pretty much whittle down what you need to know because honestly every school is designed to do one thing and that's help you pass your NCLEX they're not doing that they're not going to get accredited they don't get accredited there's no more school so we've taken this apart from all the NCLEX books and even a psychiatric teacher that teaches in Iowa and this is what we got for our pharmacology site quiz for your patient education on antidepressants da da da so the biggest overview is we are telling your patients to take their meds daily if they are not taking their meds on a daily basis or on a regular basis we're dropping below what's called therapeutic range now usually it takes two to three weeks to reach this therapeutic range so patient education you're going to get a question that says your patient says that their medication isn't working what do you educate them with well we have to educate the patients that it takes sometimes a little while for these things to reach therapeutic range you know right in that range it might take two to three months to reach maximum effects now you're thinking okay what's the therapeutic range and what's maximum effects well you can still be in therapeutic range but are you on the low end or are you on the high end in getting maximum effects not being toxic but getting the most you can about these medications now another thing for your patient education that you're going to want to write down is do not suddenly stop the medication step down off it wean off the medication a sudden stop can result in relapse you have to educate your clients about that because honestly your patients are not going to probably take them every single day they might throw them away so knowing that they're going to get a relapse if they don't take their medication then that's going to probably um help them another huge thing that's probably going to be on your test if your school is helping you pass the NCLEX or preparing you for the NCLEX this will be on your test guarantee on suicide risk this is increased in the first month of therapy so your patient has just been diagnosed with a depressant disorder now we have to educate them that increased suicide risk in the first month of therapy because your patients are coming out of their depression remember put them in your mind having them being depressed there – pretty much they're not motivated to do anything about their suicide ideations now they're feeling better now they're getting energy but they still have that depression and now they might carry out and have enough energy to carry out their suicide so first month guys we are have higher suicide risk higher suicide risk that's what you have to really really hone in on take away now specifically for your TCAs your tricyclic antidepressants we have cardiac rhythms we have to watch out for dysrhythmias due to toxicity and we are taking at bed because it causes sedation so write those down on a note card that you write on your notes but these are the big ones that may show up on the test for specific antidepressants and this is all really for patient education and it can even be rolled into nursing interventions too so here's your class your class your test might say out of which of these antidepressants could cause cardiac dysrhythmias or which one should you take at bedtime well honestly taking at bedtime any one that causes sedation as well as orthostatic hypotension because this can decrease the blood pressure and you have risks for falling okay so that is for your tcas your SSRIs on the other hand example well not exactly the opposite but just the opposite we're taking in the morning not taking at night because this causes your patient to wake up because remember our serotonin we're not causing sleepiness we're blocking really the sleepiness so we have to take it in the morning we're avoiding coffee no coffee taking with food to avoid that GI upset because serotonin 80% of it is located in the gut remember that when we're watching sodium levels as well as labs especially with old patients on diuretics okay now Mao Eyes was our non friendly antidepressant this is really the last line drug if nothing else works now you can't take any mao eyes with anything else and remember you have a big risk for high blood pressure crisis okay so we have to educate your patients that tyramine this is the big one here so remember tyramine any type of cheeses wine as well as on certain meats like sausage okay now I include this in the entire lecture this is just pretty much an overview guys so not for bipolar patients and no other meds with MAO is very very mean guy doesn't like to play well with others for a typical antidepressants a typical one of the big things here is we're doing its seasonal pattern of depression so with your wellbutrin wellbutrin is an atypical or cymbalta we are starting in the fall months and can wean off in the spring so this is what's called our seasonal patterns of depression usually or atypical antidepressants are used that way now we want to educate the patients to take at night so a typical like wellbutrin and some Boulton antidepressants take at night TCAs take a night as well okay now how do we know if it's working how do we know if it's not working what if the patient is getting better what if the patient's getting worse how do we know well we have this evaluation here the question that you have to ask yourself pretty much nursing process the last phase of it is the patient getting better it is the patient getting worse how do you know well you guys can pause this and write these down is the medication working is it not working if your patient is exhibiting a better mood or basically really if we can just cover all this up they're taking antidepressants guys we're trying to get the patient not depressed it's an antidepressant okay so we're thinking antidepressants how do we know the patient's getting better well we're getting antidepressants it's just like antihypertensive drugs basically we're lowering the blood pressure how do we know the patient's getting better while the blood pressure it's coming lower it's the same thing so we can say this in a whole bunch of different ways here we're really saying the same thing they're verbalizing a good mood fantastic that doesn't seem like depressed at all performing their ADL's they're getting dressed they're getting hygiene they're feeding themselves they're brushing their teeth they are shaving themselves probably with an electric razor because we don't need razor blades in the psych ward they have better sleep fantastic that's great they have improved eating habits they're not too fat there's a bet and they're not too skinny they're looking good they're getting in shape alright and they have they have better social interaction or what's known as your therapeutic media so cool so we're just trying to say guys your patients are becoming less depressed and antidepressant is supposed to do that obviously so so we're just trying to say guys your patients are becoming less depressed and antidepressant is supposed to do that obviously so the last thing we have to watch out for with your almost nearly all the what to coat anti-depressant medication is anticholinergic properties okay so anticholinergic remember we're getting really dry patients so chewing gum wearing sunglasses drinking more water peeing before taking the medications will help decrease the urine retention we are causing your patients to be very very dry so these are some main um what are called nursing in your interventions are basically patient education that we can give your patients who are experiencing anticholinergic or that dry effect no juices anymore so we're causing saliva by chewing gum wearing sunglasses and you're like juices in your eyeball why would you wear sunglasses well your eyes have liquid on them and when you have pretty much anticholinergic on board your eyes dry up and it's hard to see or you can become photosensitive from having light so we have them wear sunglasses drinking water because obviously your body 60% water you want to make sure we're not getting too dry and peeing before you take your medication because your kidneys make 30 MLS of fluid every hour and if you haven't peed and you take your anticholinergic basically your antidepressant medication and it causes anticholinergic this dry effect you're going to retain all that so clean before the medication is a good thing all right guys that's what you really need to know for your patient education I know it's a lot of information but hopefully we've condensed it down and we don't have to get all the books out and try to scramble it in your brain you really only need the need-to-know information it's going to help you pass your test as well as the NCLEX so let's go on to the next video

22 thoughts on “Pharmacology Quiz – ANTIDEPRESSANTS – SSRIs, SNRIs, TCAs, MAOIs, *part 4*

  1. "they are shaving… probably with an electric razor. " hahah!! they have a good mood! fantastic, that doesn't sound like depressed!" This made my day!

  2. At 18 I was given Wellbutrin and like 5 other medications to take, ended up in the hospital with serious stomach ulcers. Awful drug….

  3. Why would you ever give Wellbutrin at night? it is a stimulant drug and Cymbalta isn’t an atypical it an SNRI. The atypical meds taken at night are Remeron, Trazodone, Nefazodone, and maybe Viibryd.

  4. Good information. It would have been a little more helpful if you provided the names of the most common medication that are related to the TCA, SSRI and so on. Thanks!

  5. Hi! Have you tried – brown fat antidiabetic miracle (Have a quick look on google cant remember the place now)? Ive heard some super things about it and my father got brilliant results with it.

  6. So how does the SSRI not cause insomnia in the patient once it reaches its therapeutic range?

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