1. Emotional and Mood Disorders chp. 16
John Paul Joson MSN CNS

2. Drugs Antidepressants Drugs for ADHD Sertraline (Zoloft)
Imipramine (Tofranil)
Phenelzine (Nardil)
Drugs for ADHD
Methylphenidate (Ritalin)

3. Emotional and Mood Disorders
Inappropriate intense emotions so severe and result in impaired functioning within the family, work environment, or interpersonal relationships

5. Bipolar Disorder Extreme and opposite moods
Episodes of depression alternate with episodes of mania

6. Depression Sad or hopeless mood Lack of energy Sleep disturbances
Abnormal eating patterns
Feeling of despair, guilt, hopelessness

7. Bipolar Disorder Excessive CNS stimulation Agitation Excessive talking
Mania
Excessive CNS stimulation
Agitation
Excessive talking
Elevated mood
Grandiose thoughts
Inflated self-esteem
Flight of ideas
Constant moving
Impulsive behavior
Racing thoughts short attention span

8. Attention Deficit-Hyperactivity Disorder
Poor attention span, behavior control issues, and/or hyperactivity
Inappropriate behaviors involving difficulty paying attention or focusing on task
Tendency to be fidgety, impulsive, interrupt and talk excessively

9. Nurse’s Role Ask patient about suicidal ideation (SI)
Therapeutic blood levels (Lithium)
Diet education

10. Antidepressants Mental/emotional status Underlying psychoses
Sleep/wake cycle
Renal GI status
Liver/hematologic status
Serotonin syndrome
Dizziness, HA, n/v, anxiety, disorientation, hyperreflexia, diaphoresis, fever

11. Mood Stabilizers Mental/emotional status Electrolyte balance
Fluid balance
Renal/cardiovascular function
GI status

12. Attention Deficit-Hyperactivity Disorder
Mental status
GI/nutritional status
Growth and development
Sleep-wake cycle

13. Prototype Drugs Imipramine (Tofranil) Sertraline (Zoloft)
Phenelzine (Nardil)
Methylphenidate (Ritalin)
Lithium (Eskalith)