03 Jan 6. What adverse effects/side
Each Case study should be between 2 -3 pages – Not including the patient description and reference page.
Each study should have two academic references (textbooks, reference books, or research article) in APA format. Websites such as WebMD, Mayoclinic.com, and NursingRN.com are not considered academic references.
Responses should be in your own words and not directly copied for other texts. Plagiarism and academic dishonesty is not tolerated.
The studies do not need an APA title page, headers, or running head. You may answer the question directly on the document, but please use a different colored font that is readable.
Case Study – Depression
The following patient comes to the college health center: R.J. is a 21 year-old female college student earning her Master’s Degree in Electrical Engineering and is one of three females in the cohort of 80 males. This past semester she felt she was “stressed-out”. She was not sleeping well at night, due to worry about her assignments. This causes her to fall asleep during the day and miss class. She has lost her motivation to complete her assignments and has episodes of crying “Because she is going to disappoint her parents.” She denies thoughts of suicide, but has started drinking a a shot of alcohol at night to see if it helps her sleep.
· R.J. is referred to a counseling center
· The prescriber on duty is considering starting R.J. on amitriptyline, fluoxetine, or venlafaxine
Assignment:
1. Explain the pathophysiology of depression?
2. Name three nursing priorities?
3. List a short-term (during the visit) and a long-term (within one week) SMART goal for the patient?
4. What is the classification, action, and therapeutic effect (reason) for each medications?
5. List drug interactions or contraindications to be concerned about for each drug?
6. What adverse effects/side effects does the nurse need to monitor for each medication?
7. Would a monoamine oxidase inhibitor be appropriate for this patient? Why or why not?
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