Varcarolis Foundations of Psychiatric Mental
Health Nursing 9th Edition Chapter 1-36 By
Margaret Jordan Halter
Doxepin: Side Effects - ANSWER: Sedation/drowsiness
Blurred vision, dry mouth, diaphoresis
Nausea, vomiting, diarrhea
Agranulocytosis
Constipation, urinary retention
Sexual dysfunction
Headache, confusion
Photosensitivity
Orthostatic hypotension
Palpitations, dysrhythmias
Paralytic ileus
Hepatitis
Acute renal failure
DOXEPIN: Purpose - ANSWER: treatment of major depression and anxiety
AMITRIPTYLINE: Nursing Considerations - ANSWER: Suicide risk high after 10-14 days
due to increased energy
Use safety precautions with hazardous activity
Avoid use with alcohol
Avoid sudden positional changes
Do not discontinue abruptly
May cause serotonin syndrome
Rx; Preg Cat C
AMITRIPTYLINE: Side Effects - ANSWER: Sedation/drowsiness
Blurred vision, dry mouth, diaphoresis
Nausea, vomiting, diarrhea
Photosensitivity
Constipation, urinary retention
Increased appetite
Sexual dysfunction
Confusion
Tachycardia, dysrhythmias
Orthostatic hypotension
Hepatitis
Thrombocytopenia
Asthma exacerbation
AMITRIPTYLINE: Purpose - ANSWER: treatment of major depression
, SERTRALINE: Nursing Considerations - ANSWER: Take consistently at same time of
day; full therapeutic effect may require 4 weeks
Take with food or milk to reduce GI symptoms
Can potentiate effects of digoxin, warfarin, diazepam, aspirin, and NSAIDs
Avoid use with alcohol, CNS depressants, and disulfiram
Use caution in potentially hazardous activities
May increase risk of suicidal thoughts or behavior
May cause serotonin syndrome
Rx
SERTRALINE: Side Effects - ANSWER: Headache, agitation
Dizziness, confusion
Tremor
Nausea, diarrhea
Sweating
Insomnia
Dry mouth
Male sexual dysfunction
Palpitations
Vision abnormalities
SIADH
Hepatitis
Hyponatremia
SERTRALINE: Purpose - ANSWER: treatment of major depression, OCD, PTSD, panic
disorder, social anxiety disorder, and premenstrual dysphoric disorder
PAROXETINE: Nursing Considerations - ANSWER: Decreases digoxin levels
Take consistently at same time of day; full therapeutic effects may require 4 weeks
Take with food or milk to reduce GI symptoms
May increase risk of suicidal thoughts or behavior
May increase risk of bleeding
Avoid use with alcohol, CNS depressants
Use caution in potentially hazardous activities
Do not discontinue abruptly
May cause serotonin syndrome
Rx; Preg Cat D
PAROXETINE: Side Effects - ANSWER: Palpitations, postural hypotension
Nervousness, insomnia
Nausea, vomiting, diarrhea, constipation
Hyponatremia
Decreased appetite
Impotence
UTI
Sweating
Nasal congestion, cough
Health Nursing 9th Edition Chapter 1-36 By
Margaret Jordan Halter
Doxepin: Side Effects - ANSWER: Sedation/drowsiness
Blurred vision, dry mouth, diaphoresis
Nausea, vomiting, diarrhea
Agranulocytosis
Constipation, urinary retention
Sexual dysfunction
Headache, confusion
Photosensitivity
Orthostatic hypotension
Palpitations, dysrhythmias
Paralytic ileus
Hepatitis
Acute renal failure
DOXEPIN: Purpose - ANSWER: treatment of major depression and anxiety
AMITRIPTYLINE: Nursing Considerations - ANSWER: Suicide risk high after 10-14 days
due to increased energy
Use safety precautions with hazardous activity
Avoid use with alcohol
Avoid sudden positional changes
Do not discontinue abruptly
May cause serotonin syndrome
Rx; Preg Cat C
AMITRIPTYLINE: Side Effects - ANSWER: Sedation/drowsiness
Blurred vision, dry mouth, diaphoresis
Nausea, vomiting, diarrhea
Photosensitivity
Constipation, urinary retention
Increased appetite
Sexual dysfunction
Confusion
Tachycardia, dysrhythmias
Orthostatic hypotension
Hepatitis
Thrombocytopenia
Asthma exacerbation
AMITRIPTYLINE: Purpose - ANSWER: treatment of major depression
, SERTRALINE: Nursing Considerations - ANSWER: Take consistently at same time of
day; full therapeutic effect may require 4 weeks
Take with food or milk to reduce GI symptoms
Can potentiate effects of digoxin, warfarin, diazepam, aspirin, and NSAIDs
Avoid use with alcohol, CNS depressants, and disulfiram
Use caution in potentially hazardous activities
May increase risk of suicidal thoughts or behavior
May cause serotonin syndrome
Rx
SERTRALINE: Side Effects - ANSWER: Headache, agitation
Dizziness, confusion
Tremor
Nausea, diarrhea
Sweating
Insomnia
Dry mouth
Male sexual dysfunction
Palpitations
Vision abnormalities
SIADH
Hepatitis
Hyponatremia
SERTRALINE: Purpose - ANSWER: treatment of major depression, OCD, PTSD, panic
disorder, social anxiety disorder, and premenstrual dysphoric disorder
PAROXETINE: Nursing Considerations - ANSWER: Decreases digoxin levels
Take consistently at same time of day; full therapeutic effects may require 4 weeks
Take with food or milk to reduce GI symptoms
May increase risk of suicidal thoughts or behavior
May increase risk of bleeding
Avoid use with alcohol, CNS depressants
Use caution in potentially hazardous activities
Do not discontinue abruptly
May cause serotonin syndrome
Rx; Preg Cat D
PAROXETINE: Side Effects - ANSWER: Palpitations, postural hypotension
Nervousness, insomnia
Nausea, vomiting, diarrhea, constipation
Hyponatremia
Decreased appetite
Impotence
UTI
Sweating
Nasal congestion, cough
