4. The student was reviewing the medication record for a client diagnosed with m

Question

4. The student was reviewing the medication record for a client diagnosed with major depressive disorder with psychotic features. The client has been on medications for the past 12 years, has exhibited many side effects, and experienced multiple medication changes. On this admission, the client has developed abnormal movements of the tongue, a masklike face, shuffling gait, and constipation. The client is taking a selective serotonin reuptake inhibitor (SSRI) and an antipsychotic.

a. Identify the medication classification that may be responsible for the side effects and explain your choice.

b. Discuss the most important nursing implication related to the side effects the client is experiencing. c. Explain why psychiatric clients experience multiple side effects and often need medication changes.

Explanation / Answer

a.

Classification of antipsychotic drugs

DRUG

eg chlorpromazine

Classification of antidepressants

1. Selective serotonin reuptake Inhibitors (SSRIs)

Examples of drugs include Fluoxetine, Sertraline

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressants. They can ease symptoms of moderate to severe depression, are relatively safe and typically cause fewer side effects than other types of antidepressants do.

SSRIs ease depression by increasing levels of serotonin in the brain. Serotonin is one of the chemical messengers (neurotransmitters) that carry signals between brain cells. SSRIs block the reabsorption (reuptake) of serotonin in the brain, making more serotonin available

Possible side effects of SSRIs may include, among others:

b. Nursing implication related to the side effects include

Phenothiazines

DRUG

eg chlorpromazine

Thioxanthenes flupenthixol Butyrophenones Haloperidol Diphenylbutyl Pimozide Piperiridines Penfluridol Atypical antipsychotic clozapine Indolic deriavatics Molindone Dibenzoxazepines Loxapine

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