MIDTERM STUDY GUIDE NURS 6550 Acute Care Study Guide for midterm (A GUARANTEED)

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MIDTERM STUDY GUIDE NURS 6550 Acute Care Study Guide for midterm (A GUARANTEED) Psychosocial * Generalized anxiety disorder diagnosis criteria ➢ Excessive anxiety and worry occurring more days th... an not for 6 months ➢ Difficulty controlling worry ➢ 3 or more of the following: restlessness, feeling keyed up or on edge; easily fatigued; difficulty concentrating or mind going blank; irritability; muscle tension; sleep disturbances ➢ significant distress or impairment on social, occupational, or other important areas ➢ symptoms not attributed to another medical condition or substance abuse ➢ symptoms not explained by another medical disorder * Treatment of acute panic attacks • physical activity • selective serotonin reuptake inhibitors are first line therapy • continue medication for 12 months after symptoms improve prior to tapering • antidepressants and benzodiazepines may speed recovery from anxiety-related symptoms but do not improve long term outcomes. Benzodiazepines are associated with tolerance and should only be used short term • psychotherapy can be as effective for GAD and PD; cognitive behavior therapy has the best level of evidence • tailored options to individuals have the best outcomes and may include a combination of therapies * Inpatient treatment of depression ➢ reasons for inpatient: suicidal behavior; refusal to eat; severe malnutrition; catatonia; presence of general medical or comorbid psychiatric conditions that make outpatient treatment unsafe or ineffective (Depression Mgnt Guidelines AC folder) * When is serotonin norepinephrine reuptake inhibitor indicated ➢ most often prescribed for anxiety/sleep disorders ➢ influence on thalamus and prefrontal areas of the cortex ➢ fibromyalgia ➢ when SSRIs don’t work ➢ side effects are worse NURS 6550 Midterm Study Guide 2 * Venlafaxine dosing ➢ generalized anxiety disorder/major depressive disorder: 75-225mg qd ➢ social anxiety disorder: 75mg qd * Endogenous depression pathophysiology ➢ type of MDD ➢ biological or genetic predisposition * Differences between panic attacks and panic disorder ➢ panic attack: sudden, intense fear or anxiety may feel shortness of breath or dizzy or may make your heart pound. Feeling they are having a heart attack. Lasts 5-20 minutes. ➢ panic disorder: when the panic attacks occur often * Depressive disorder symptoms ➢ persistent sad, anxious, or empty mood ➢ feelings of hopelessness, or pessimism ➢ irritability ➢ feelings of guilt, worthlessness, or helplessness ➢ loss of interest or pleasure in hobbies and activities ➢ decreased energy or fatigue ➢ moving or talking more slowly ➢ feeling restless or having trouble sitting still ➢ difficulty concentrating, remembering, or making decisions ➢ difficulty sleeping, early-morning awakening, or oversleeping ➢ appetite and or weight changes ➢ thoughts of death or suicide, or suicide attempts ➢ aches or pains, headaches, cramps, or digestive problems without a clear physical cause and/or that do not ease even with treatment * Primary neurotransmitter in PTSD ➢ catecholamines ➢ serotonin * PTSD diagnosis and treatment ➢ history of exposure to perceived or actual life-threatening event, serious injury, or sexual violence ➢ comorbidity depression or panic disorder ➢ comorbidity alcohol and substance abuse ➢ treatment: psychotherapy and SSRIs [Show More]

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