NR 601 / NR601 Primary Care of the Maturing and Aged Family Practicum Midterm Review | Rated A Complete Guide | Latest 2021/2022 | Chamberlain
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1. What are signal symptoms of depression?
- Feeling sad
- Discouraged
- Lack of pleasure in usual activities
- Unmotivated
- Low energy
- Sleep/appetite disturbances
2. The symptoms of depression may encompass what 4 domains?
- Affect/mood
- Cognition
- Physiological
- Behavior
3. What is treatment goal for depression?
- Full remission and recovery
4. What are first-line meds for depression?
- SSRIs:
- fluoxetine (Prozac)
- sertraline (Zoloft)
- paroxetine (Paxil)
- citalopram (Celexa)
- escitalopram (Lexapro)
- flovoxamine (Luvox)
5. What is transient insomnia?
- Lasts a few nights.
- Related to emotional stress.
- Usually resolves w/out meds when elderly adapts to or removes change.
6. What is short-term insomnia? \
- Similar to transient insomnia.
- Lasts <1mo
- Related to acute medical/psychological condition or to persistent situational stress.
7. What is chronic insomnia?
- Lasts >1mo
- Results from age-related changes in sleep/chronic stressors.
8. What is treatment for insomnia?
- Avoid caffeine for 12hrs before bedtime.
- D/C ETOH/unnecessary sleep-interrupting drugs.
- OTC melatonin or Rx ramelteon can be tried; if ineffective, initiate short-acting sedative-hypnotic like zolpidem (Ambien) or zaleplon (Sonata) at lowest dose before desired bedtime for 1wk or less.
- Suggest spacing dose to every other day to avoid SE.
- If benzos used, temazepam (Restoril) is relatively short-acting; if ineffective, re-eval dx and restructure treatment modalities.
9. What are signal symptoms of polymyalgia rheumatica?
- New onset stiffness/aching in neck, shoulders, pelvic girdle.
- Unable to get out of bed in the morning w/out extreme difficulty.
- Difficulty lifting arms over head.
10. What are common lab findings in polymyalgia rheumatica?
- Elevated ESR and CRP
- Normochromic, normocytic anemia
- Thrombocytosis
11. What is treatment for PMR?
- If s/s are only of PMR and not of GCA as well, start low dose prednisone 10-20mg/day and taper dose. [Show Less]