Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 12 Mental Health^457



  • Palpitations, tachycardia, and chest pain

  • Dyspnea

  • Choking sensation

  • Nausea

  • Dizziness

  • Diaphoresis

  • Numbness


INTERPRETING TEST RESULTS



  • EKG normal.

  • Cardiac monitor normal.

  • Lab results normal.

  • Pulse oximetry normal.


TREATMENT



  • Cognitive-behavioral therapy.

  • Relaxation therapy.

  • Administer antidepressants:

    • selective serotonin reuptake inhibitors

    • tricyclics

    • monoamine oxidase inhibitors



  • Administer benzodiazepines as adjunctive treatment:

    • clonazepam, alprazolam, lorazepam



  • Provide reassurance to patient.


NURSING DIAGNOSIS



  • Powerlessness

  • Fear

  • Social isolation

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