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Depression, Bipolar Disorder Chronic Pain Insomnia
Depression, Bipolar Disorder Chronic Pain Insomnia
reactions responsibilities
Generic name: The TCAs are CNS: CNS: Before: depression,
Tricyclic used primarily Headache, Confusion, Check the
Antidepressant in the clinical fatigue delirium, doctor bipolar
treatment of dream orders. disorder
Class: mood CV: disturbances, Assess for
chronic pain
Antidepressants disorders such hypotension drowsiness allergy to the
as major sedation, drug. insomnia
depressive EENT: dry seizures. Take client’s
disorder mouth CV: ECG vital signs.
(MDD), changes,
dysthymia, GI: loss of orthostatic During:
and appetite palpitations Verify
treatment- EENT: Blurred patient’s
resistant vision, taste identity.
variants. perversion Administer
GI: the right
Constipation, drug, right
diarrhea, dose at the
heartburn, right time.
ileus, increased State the
appetite, importance
nausea, and the
vomiting. purpose of
GU: Decreased the drug.
libido,
ejaculation After:
disorders Report any
SKIN: signs and
Diaphoresis, symptoms of
jaundice allergy.
Instruct the
patient to
discontinue
the drug if
any adverse
effect occurs.
Record and
document
Drug Indications Side effects Adverse reactions Nursing Disorders
classification responsibilities
Generic name: Used for Fatigu CNS: Before: Depression
Serotonin treating chills, aggression, Check the Anxiety
norepinephrine depression. abnormal agitation, anger, doctor Chronic pain
reuptake SNRIs are also dreams anxiety, asthenia, orders.
inhibitor used to treat Headache chills, dizziness, Assess for
other Loss of extrapyramidal allergy to
Class: conditions, appetite disorder, fatigue, the drug.
antidepressants such as Dry mouth fever, Take
anxiety hallucinations, client’s
disorders and insomnia vital signs.
long-term CV: Hypertension,
(chronic) hypertensive crisis, During:
pain, orthostatic Verify
especially hypotension, patient’s
nerve pain. palpitations, identity.
EENT: Blurred Administer
vision, dry mouth the right
pharyngitis, taste drug, right
alteration, tinnitus dose at the
ENDO: right time.
Galactorrhea, hot State the
flashes, importance
hyperglycemia, and the
hyperprolactinemia purpose of
GI: Abdominal the drug.
pain, anorexia,
cholestatic After:
jaundice, nausea, Report any
upper abdominal signs and
pain, vomiting symptoms
GU: Abnormal of allergy.
orgasm; decreased Instruct the
libido; erectile or patient to
ejaculatory discontinue
dysfunction; the drug if
urinary frequency, any
adverse
effect
occurs.
Record and
document
Drug name Mechanism of Indications/contraindications Adverse effects Nursing
action responsibilities
Generic name: Reversibly binds to Indications: CNS: Before:
tranylcypromine MAO, reducing its To treat major depressive Anxiety, chills, Check the
sulfate activity and episodes without dizziness, doctor
resulting in melancholia. drowsiness, orders.
Brand name: increased levels of fever, Assess for
Parnate neurotransmitters, Contraindications: headache, allergy to
including Cardiovascular disease insomnia. the drug.
Pharmaceutical dopamine, heart failure Take
class: epinephrine, and hepatic disease CV: client’s
Nonhydrazine norepinephrine. history of headache Bradycardia, vital signs.
derivative This regulation of hypersensitivity to chest pain,
CNS tranylcypromine or its edema, During:
Therapeutic class: neurotransmitters components. hypertensive Verify
Antidepressant helps ease tachycardia patient’s
depression. identity.
Dosage: EENT: Administer
2.5, 5 mg Blurred vision, the right
dry mouth, drug, right
Route: tinnitus dose at the
Oral right time.
GI: State the
Abdominal pain, importance
anorexia and the
purpose of
the drug.
After:
Report any
signs and
symptoms
of allergy.
Instruct the
patient to
discontinue
the drug if
any
adverse
effect
occurs.
Record and
document.