(^460) Medical-Surgical Nursing Demystified
- Antidepressant medications:
- SSRIs
- venlafaxine
- nefazodone
- bupropion
- mirtazapine
- tricyclics
- monoamine oxidase inhibitors
- Electroconvulsant therapy (ECT) in refractory cases.
NURSING DIAGNOSIS
- Hopelessness
- Risk for suicide
- Dysfunctional grieving
- Impaired social interaction
- Social isolation
- Disturbed self-esteem
NURSING INTERVENTION
- Monitor patient frequently when first admitted.
- One-to-one observation if patient is a suicidal risk.
- Develop a level of sensitivity and trust with the patient.
- Ask patient about suicidal ideation; do they have a plan, have they attempted
to carry out a plan. - Monitor medication intake.
- Discuss patient response to therapy.
- Monitor vital signs; watch for elevation in blood pressure with some med-
ications. - Monitor weight; some medications are associated with changes in weight.
- Monitor sleep; ask patient about restful sleep during the night, and difficulty
falling asleep.